MEDICARE: WENDY ROCHA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	33537	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023123585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY ROCHA M.D.

Provider Business Mailing Address
First Line	:	22 E. MITCHELL DR.
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012
Country	:	US
Telephone Number	:	602-277-5731
Fax Number	:	602-277-5995

Provider Business Practice Location Address
First Line	:	22 E. MITCHELL DR.
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012
Country	:	US
Telephone Number	:	602-277-5731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	03/28/2023

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