Provider Demographics
NPI:1720055742
Name:WHEELER, CATHERINE J (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:J
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4465 S 900 E
Mailing Address - Street 2:SUITE 275
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-2469
Mailing Address - Country:US
Mailing Address - Phone:801-272-6100
Mailing Address - Fax:801-272-6101
Practice Address - Street 1:4465 S 900 E
Practice Address - Street 2:SUITE 275
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-2469
Practice Address - Country:US
Practice Address - Phone:801-272-6100
Practice Address - Fax:801-272-6101
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2012-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT270V00000X207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTE82416Medicare UPIN