Healthcare Provider Details

I. General information

NPI: 1023123585
Provider Name (Legal Business Name): WENDY ROCHA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WENDY ROCHA SAUCEDO M.D.

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 E. MITCHELL DR.
PHOENIX AZ
85012
US

IV. Provider business mailing address

22 E. MITCHELL DR.
PHOENIX AZ
85012
US

V. Phone/Fax

Practice location:
  • Phone: 602-277-5731
  • Fax:
Mailing address:
  • Phone: 602-277-5731
  • Fax: 602-277-5995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number33537
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: