Healthcare Provider Details

I. General information

NPI: 1174727754
Provider Name (Legal Business Name): KATHERINE L GILLASPY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 N ROSEMONT BLVD
TUCSON AZ
85712-2139
US

IV. Provider business mailing address

PO BOX 81064
CLEVELAND OH
44181-0064
US

V. Phone/Fax

Practice location:
  • Phone: 520-881-1977
  • Fax: 520-881-1979
Mailing address:
  • Phone: 520-795-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number43124
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: