Organization
COCHISE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SCOTT BIVENS (HR DIRECTOR)
(520) 439-2128
Entity
Organization
Contact information
Practice address
4677 N COMMERCE DR, SIERRA VISTA, AZ 85635-2497
(520) 439-2128
(520) 459-8567
Mailing address
4677 N COMMERCE DR, SIERRA VISTA, AZ 85635-2497
(520) 439-2128
(520) 459-8567
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
111N00000X
Chiropractor
—
—
174H00000X
Health Educator
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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