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NPI Code Detail

MEDICARE: STEFANI MARIE CATOUR

MEDICARE: STEFANI MARIE CATOUR
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1376132845
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANI MARIE CATOUR
Provider Business Mailing Address
First Line : 425 W MOUNTAIN VISTA DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85045-0505
Country : US
Telephone Number : 480-234-9947
Fax Number :
Provider Business Practice Location Address
First Line : 1260 E OHIO AVE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92027-3054
Country : US
Telephone Number : 480-234-9947
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2021
Last Update Date : 01/11/2021

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