Individual
DR. PEDRO RAMON CHOCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4131 N 24TH ST, STE. B102, PHOENIX, AZ 85016-6262
(602) 955-6632
(602) 381-1341
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(623) 780-3752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-0638
AZ
103T00000X
Psychologist
Primary
847
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068297000
MAGELLAN BEHAVIORAL HEALT
—
01
—
763290
AETNA BEHAVIORAL HEALTH
—
01
—
AZ0616080
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
12/01/2006
Last updated
09/19/2013
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