Provider Demographics
NPI:1720167414
Name:CATHERINE WESTERBAND MD PC
Entity Type:Organization
Organization Name:CATHERINE WESTERBAND MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WESTERBAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-498-5000
Mailing Address - Street 1:1871 W ORANGE GROVE RD
Mailing Address - Street 2:STE #101
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704
Mailing Address - Country:US
Mailing Address - Phone:520-498-5000
Mailing Address - Fax:520-498-5011
Practice Address - Street 1:1871 W ORANGE GROVE RD
Practice Address - Street 2:STE #101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704
Practice Address - Country:US
Practice Address - Phone:520-498-5000
Practice Address - Fax:520-498-5011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ26791207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZA103207Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER