Organization
SHOW LOW NEUROLOGY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM HOCHANE MD (PROPRIETOR)
(928) 532-2242
Entity
Organization
Contact information
Practice address
5171 CUB LAKE RD, BLDG C SUITE 340, SHOW LOW, AZ 85901-7888
(928) 532-2242
(928) 532-3006
Mailing address
PO BOX 1149, LAKESIDE, AZ 85929-1149
(928) 532-2242
(928) 532-3006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32092
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851130
—
AZ
Enumeration date
03/14/2007
Last updated
09/07/2007
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