Individual
GERARDO OCHOA SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
845 E B ST, SAN LUIS, AZ 85336-3640
(928) 336-2055
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2822
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
TRIWEST
AZ
01
—
130022901
RR MEDICARE
AZ
05
—
793647
—
AZ
Enumeration date
08/29/2006
Last updated
01/14/2025
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