Provider Demographics
NPI:1972515815
Name:DUBIEL, CATHERINE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARIE
Last Name:DUBIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8040 E MORGAN TRL
Mailing Address - Street 2:SUITE 13
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1232
Mailing Address - Country:US
Mailing Address - Phone:480-275-8082
Mailing Address - Fax:480-209-1435
Practice Address - Street 1:8040 E MORGAN TRL
Practice Address - Street 2:SUITE 13
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1232
Practice Address - Country:US
Practice Address - Phone:480-275-8082
Practice Address - Fax:480-209-1435
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ20468207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ76028Medicare ID - Type Unspecified
AZF53499Medicare UPIN