Ocotillo Medical Group Llc | |
2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | |
(480) 926-7800 | |
(480) 926-2260 |
Full Name | Ocotillo Medical Group Llc |
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Type | Facility |
Speciality | General Practice |
Location | 2815 E. Ocotillo Rd, Chandler, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538692470 | NPI | - | NPPES |
Provider Name | John J Koc |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1659429215 PECOS PAC ID: 1951200609 Enrollment ID: I20040102000119 |
Provider Name | Mollie E Callanan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255369849 PECOS PAC ID: 4880637313 Enrollment ID: I20050606001134 |
Provider Name | Troy C Ciavaglia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740400258 PECOS PAC ID: 7113052267 Enrollment ID: I20100316000061 |
Provider Name | Nathan E Grinder |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1164726717 PECOS PAC ID: 5597949008 Enrollment ID: I20110407000495 |
Provider Name | Sonja Gerard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366719965 PECOS PAC ID: 0941460018 Enrollment ID: I20120327000757 |
Provider Name | Genesis Larkins |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194426080 PECOS PAC ID: 3072988559 Enrollment ID: I20230414001567 |
Provider Name | Amberlyn June Plath |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891439592 PECOS PAC ID: 1658819339 Enrollment ID: I20240813001151 |
Provider Name | Douglas Beaudette |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1437249521 PECOS PAC ID: 6002891140 Enrollment ID: I20241120001119 |
Mailing Address | Practice Location Address |
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Ocotillo Medical Group Llc Po Box 6610, Chandler, AZ 85246-6610 Ph: (480) 926-7800 | Ocotillo Medical Group Llc 2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 Ph: (480) 926-7800 |