Healthcare Provider Details

I. General information

NPI: 1841666914
Provider Name (Legal Business Name): DARIN A BOCIAN DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2015
Last Update Date: 08/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 W ORANGE GROVE RD STE 125
TUCSON AZ
85704-1146
US

IV. Provider business mailing address

1845 W ORANGE GROVE RD STE 125
TUCSON AZ
85704-1146
US

V. Phone/Fax

Practice location:
  • Phone: 520-877-3328
  • Fax:
Mailing address:
  • Phone: 520-877-3328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number0386
License Number StateAZ

VIII. Authorized Official

Name: DARIN A BOCIAN
Title or Position: PRESIDENT
Credential: DPM
Phone: 520-907-1104