Individual
THERESA MARIE LOCOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, MEDICAL EDUCATION, PHOENIX, AZ 85016-7710
(602) 546-1000
Mailing address
1919 E THOMAS RD, MEDICAL EDUCATION, PHOENIX, AZ 85016-7710
(602) 546-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38136
AZ
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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