MEDICARE: MRS. CATHERINE WHERRY PACOCHA MPAS PA-C

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
1	363A00000X	Physician Assistant	1540	CO

General Provider Information

NPI Number	:	1205817483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATHERINE WHERRY PACOCHA MPAS PA-C

Provider Business Mailing Address
First Line	:	940 CENTRAL PARK DR STE 210
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8853
Country	:	US
Telephone Number	:	970-871-4811
Fax Number	:	970-879-4527

Provider Business Practice Location Address
First Line	:	940 CENTRAL PARK DR STE 210
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8853
Country	:	US
Telephone Number	:	970-871-4811
Fax Number	:	970-879-4527

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	12/17/2024

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