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NPI Code Detail

MEDICARE: DR. KATHERINE ROSE DARU M.D.

MEDICARE: DR. KATHERINE ROSE DARU 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
1204D00000XNeuromusculoskeletal Medicine & OMM Physician26776AZ

General Provider Information

NPI Number : 1144314089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE ROSE DARU M.D.
Provider Business Mailing Address
First Line : 3019 N 14TH ST APT 324
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5611
Country : US
Telephone Number : 602-336-9634
Fax Number :
Provider Business Practice Location Address
First Line : 650 E INDIAN SCHOOL RD
Second Line : CARL HAYDEN VAMC
City : PHOENIX
State : AZ
Zip : 85012-1839
Country : US
Telephone Number : 602-277-5551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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