Provider Demographics
NPI:1275526634
Name:SACHA, JOSHUA JUDE (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JUDE
Last Name:SACHA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ALLERGY/IMMUNIZATIONS CLINIC
Mailing Address - Street 2:7219 NORTH LITCHFIELD ROAD
Mailing Address - City:LUKE AFB
Mailing Address - State:AZ
Mailing Address - Zip Code:85309
Mailing Address - Country:US
Mailing Address - Phone:623-856-7420
Mailing Address - Fax:602-429-8356
Practice Address - Street 1:56TH MEDICAL GROUP ALLERGY/IMMUNIZATIONS CLINIC
Practice Address - Street 2:7219 NORTH LITCHFIELD ROAD
Practice Address - City:LUKE AFB
Practice Address - State:AZ
Practice Address - Zip Code:85309
Practice Address - Country:US
Practice Address - Phone:623-856-7420
Practice Address - Fax:602-429-8356
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003019182208000000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics