Provider Demographics
NPI:1972558427
Name:FOLL, CATHERINE A (MD)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:A
Last Name:FOLL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:10645 N TATUM BLVD
Mailing Address - Street 2:#200-564
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028
Mailing Address - Country:US
Mailing Address - Phone:480-947-7712
Mailing Address - Fax:480-947-1486
Practice Address - Street 1:7301 E 2ND ST
Practice Address - Street 2:SUITE 315
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5600
Practice Address - Country:US
Practice Address - Phone:480-947-7711
Practice Address - Fax:480-994-8530
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2015-06-16
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Provider Licenses
StateLicense IDTaxonomies
AZ35300204C00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ116260Medicaid
AZ116260Medicaid