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NPI Code Detail

MEDICARE: JULISSA OCHOA-BUCK MD

MEDICARE: JULISSA OCHOA-BUCK MD
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
1208000000XPediatrics Physician42319AZ

General Provider Information

NPI Number : 1649503814
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULISSA OCHOA-BUCK MD
Provider Business Mailing Address
First Line : 3690 S PARK AVE STE 805
Second Line :
City : TUCSON
State : AZ
Zip : 85713-5042
Country : US
Telephone Number : 520-616-6760
Fax Number : 520-616-6799
Provider Business Practice Location Address
First Line : 3690 S PARK AVE STE 805
Second Line :
City : TUCSON
State : AZ
Zip : 85713-5042
Country : US
Telephone Number : 520-616-6760
Fax Number : 520-616-6799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2009
Last Update Date : 04/30/2015

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Directions to “ JULISSA OCHOA-BUCK MD” Practice Location

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