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NPI Code Detail

MEDICARE: DR. KATHERINE L GILLASPY M.D.

MEDICARE: DR. KATHERINE L GILLASPY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician43124AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23858222709OTHERMYUTMB 3858222709-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1174727754
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE L GILLASPY M.D.
Provider Business Mailing Address
First Line : PO BOX 81064
Second Line :
City : CLEVELAND
State : OH
Zip : 44181-0064
Country : US
Telephone Number : 520-795-8080
Fax Number :
Provider Business Practice Location Address
First Line : 2300 N ROSEMONT BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2139
Country : US
Telephone Number : 520-881-1977
Fax Number : 520-881-1979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 12/15/2025

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