| Ocotillo Medical Group Llc | |
|
2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | |
| (480) 926-7800 | |
| (480) 926-2260 |
| Full Name | Ocotillo Medical Group Llc |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659429215 PECOS PAC ID: 1951200609 Enrollment ID: I20040102000119 |
| Provider Name | Mollie E Callanan |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164726717 PECOS PAC ID: 5597949008 Enrollment ID: I20110407000495 |
| Provider Name | Sonja Gerard |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |