Organization
OCOTILLO HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MAXON MALDONADO (MANAGER)
(602) 265-0077
Entity
Organization
Contact information
Practice address
19820 N 7TH AVE, SUITE 230-F, PHOENIX, AZ 85027-4736
(602) 265-0077
Mailing address
19820 N 7TH AVE, SUITE 102-F, PHOENIX, AZ 85027-4736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/22/2010
Last updated
10/12/2012
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