| Ocotillo Treatment Center, Llc | |
|
3645 S Rome St Ste 204 Gilbert AZ 85297-7338 | |
| (480) 771-4400 | |
| Not Available |
| Full Name | Ocotillo Treatment Center, Llc |
|---|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 3645 S Rome St Ste 204, Gilbert, Arizona |
| Authorized Official Name and Position | Taicha L Maldonado (MANAGER) |
| Authorized Official Contact | 4804417700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocotillo Treatment Center, Llc 3645 S Rome St Ste 204 Gilbert AZ 85297-7338 Ph: (480) 771-4400 | Ocotillo Treatment Center, Llc 3645 S Rome St Ste 204 Gilbert AZ 85297-7338 Ph: (480) 771-4400 |
| NPI Number | 1871085902 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871085902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
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