Catherine Elizabeth Stauber, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI 1497558282 · NPPES record last updated Mar 28, 2025

Key facts

NPI
1497558282
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
30 Mario Capecchi Drive
Salt Lake City, UT 84112
Phone
(801) 647-7199
NPI assigned
Mar 28, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

30 Mario Capecchi Drive
Salt Lake City, UT 84112

Mailing address

30 Mario Capecchi Drive
Salt Lake City, UT 84112
Phone (801) 647-7199

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.