Provider Demographics
NPI:1902071483
Name:SAMPERT, CATHERINE M (DO, MS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:M
Last Name:SAMPERT
Suffix:
Gender:F
Credentials:DO, MS
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:MADIGAN ARMY MEDICAL CENTER
Mailing Address - Street 2:DEPT OF PEDIATRICS
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431
Mailing Address - Country:US
Mailing Address - Phone:253-968-3066
Mailing Address - Fax:253-968-0384
Practice Address - Street 1:MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-5001
Practice Address - Country:US
Practice Address - Phone:253-968-2310
Practice Address - Fax:253-968-5294
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7664465-1204208000000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics