Organization
OCOTILLO INTERNAL MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN W HACKENYOS DO (PARTNER)
(480) 895-5870
Entity
Organization
Contact information
Practice address
245 S DOBSON RD, CHANDLER, AZ 85224-6577
(480) 895-5870
(480) 895-0573
Mailing address
245 S DOBSON RD, CHANDLER, AZ 85224-6577
(480) 895-5870
(480) 895-0573
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
11/11/2008
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