| Ocotillo Dermatology, Pllc | |
|
3930 S Alma School Rd Ste 8 Chandler AZ 85248-4510 | |
| (480) 917-4815 | |
| (480) 963-2654 |
| Full Name | Ocotillo Dermatology, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3930 S Alma School Rd Ste 8, Chandler, Arizona |
| Authorized Official Name and Position | Joseph David Allgeier (OWNER) |
| Authorized Official Contact | 4806257975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocotillo Dermatology, Pllc 1805 W Sparrow Dr Chandler AZ 85286-5172 Ph: (480) 625-7975 | Ocotillo Dermatology, Pllc 3930 S Alma School Rd Ste 8 Chandler AZ 85248-4510 Ph: (480) 917-4815 |
| NPI Number | 1053871384 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 1153657762 |
|---|---|
| Medicare Enrollment ID | O20190719000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053871384 | NPI | - | NPPES |
| 707265 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph D Allgeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144253071 PECOS PAC ID: 0446386460 Enrollment ID: I20120622000109 |
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