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OCOTILLO FAMILY MEDICINE PLLC NPI 1982668935


NPI Information

NPI: 1982668935
Provider Name: OCOTILLO FAMILY MEDICINE, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
16515 S 40TH ST
SUITE 109
PHOENIX, AZ
ZIP 85048
Phone: (480) 706-0174
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OCOTILLO FAMILY MEDICINE, PLLC is a family medicine in Phoenix, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OCOTILLO FAMILY MEDICINE, PLLC NPI is 1982668935. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16515 S 40TH ST
SUITE 109
PHOENIX, AZ
ZIP 85048-558
Phone: (480) 706-0174

The provider's authorized official is Gil Holland .
The authorized official title is Owner and has the following contact phone number (480) 706-0174.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 10/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine31233ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1776130MEDICAIDARIZONA
2522104MEDICAIDARIZONA
3Z83834MEDICARE PINARIZONA
4H87747MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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