Organization
COCHISE SURGICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY L JENKINS MD (OWNER/PHYSICIAN)
(520) 452-0144
Entity
Organization
Contact information
Practice address
75 COLONIA DE SALUD, SUITE 100 C, SIERRA VISTA, AZ 85635-2485
(520) 452-0144
(520) 452-0075
Mailing address
75 COLONIA DE SALUD, STE C100, SIERRA VISTA, AZ 85635-2485
(520) 452-0144
(520) 452-0075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23558
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322222
—
AZ
01
—
AZ0776250
BCBS PROVIDER ID
AZ
Enumeration date
07/20/2006
Last updated
04/16/2008
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