Doctor Name: | DR. JOSE L GOCHOCO |
NPI Number: | 1639195365 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 1715 |
Business Practice Address: | 2002 N Stockton Hill Rd Suite 102 Kingman, AZ - 864014698 |
Business Phone Number: | 9287184375 |
Business Fax Number: | 9282220227 |
Mailing Address: | Po Box 4450, KINGMAN |
State: | AZ |
Postal Code: | 864024450 |
Phone Number: | 9287184375 |
Fax Number: | 9282220227 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 10/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1715 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |