Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | 42164 | AZ |
NPI | 1407973167 |
---|---|
Provider Name | Dr. Shari Ochoa |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259-5452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 08/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
445506 | (05) | AZ |
5315017805 | CONTROLLED SUBSTANCE LICE (01) | MI |
P00798187 | RAILROAD MEDICARE (01) | AZ |