Healthcare Provider Details

I. General information

NPI: 1720167414
Provider Name (Legal Business Name): CATHERINE WESTERBAND MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 03/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1871 W ORANGE GROVE RD STE #101
TUCSON AZ
85704
US

IV. Provider business mailing address

1871 W ORANGE GROVE RD STE #101
TUCSON AZ
85704
US

V. Phone/Fax

Practice location:
  • Phone: 520-498-5000
  • Fax: 520-498-5011
Mailing address:
  • Phone: 520-498-5000
  • Fax: 520-498-5011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number26791
License Number StateAZ

VIII. Authorized Official

Name: CATHERINE M WESTERBAND
Title or Position: PRESIDENT
Credential: M.D.
Phone: 520-498-5000