Individual
DR. JOSE L GOCHOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2002 N STOCKTON HILL RD, SUITE 102, KINGMAN, AZ 86401-4698
(928) 718-4375
(928) 222-0227
Mailing address
3285 N JEWEL ST, KINGMAN, AZ 86401-3818
(928) 293-0227
(928) 692-2746
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
1715
AZ
208D00000X
General Practice Physician
1715
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295487
—
AZ
Enumeration date
07/14/2006
Last updated
05/29/2024
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