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NPI Code Detail

MEDICARE: CONNIE L CATRON M.D.

MEDICARE: CONNIE L CATRON 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
1207Q00000XFamily Medicine PhysicianMD0000037831TN
2207Q00000XFamily Medicine Physician17896AZ

General Provider Information

NPI Number : 1255433231
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE L CATRON M.D.
Provider Business Mailing Address
First Line : 2124 LEISURE WORLD
Second Line :
City : MESA
State : AZ
Zip : 85206-5370
Country : US
Telephone Number : 931-248-3615
Fax Number :
Provider Business Practice Location Address
First Line : 6811 E SUPERSTITION SPRINGS BLVD
Second Line :
City : MESA
State : AZ
Zip : 85209-4001
Country : US
Telephone Number : 480-641-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 12/27/2012

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Directions to “ CONNIE L CATRON M.D.” Practice Location

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