# OCOTILLO DERMATOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053871384
- **Authorized official:** DR. JOSEPH DAVID ALLGEIER DO (OWNER)
- **Authorized official phone:** (480) 625-7975

## Contact information

- **Practice address:** 3930 S ALMA SCHOOL RD STE 8, CHANDLER, AZ 85248-4510
- **Practice address phone:** (480) 917-4815
- **Practice address fax:** (480) 963-2654
- **Mailing address:** 1805 W SPARROW DR, CHANDLER, AZ 85286-5172
- **Mailing address phone:** (480) 625-7975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2019
- **Last updated:** 07/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 707265 | — | AZ |