Basic Information
Provider Information
NPI: 1871768887
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CATTON
FirstName: ALEXANDER
MiddleName: JOSEF
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 645 E MISSOURI AVE
Address2: STE 300
City: PHOENIX
State: AZ
PostalCode: 850121351
CountryCode: US
TelephoneNumber: 6022628917
FaxNumber: 6022628890
Practice Location
Address1: 9500 EUCLID AVE
Address2: E30
City: CLEVELAND
State: OH
PostalCode: 441950001
CountryCode: US
TelephoneNumber: 2164452115
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/30/2008
LastUpdateDate: 12/19/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/19/2019

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X57-010852OHY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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