Provider Demographics
NPI:1346425139
Name:DARIN A. BOCIAN,DPM,PC
Entity Type:Organization
Organization Name:DARIN A. BOCIAN,DPM,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOCIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:520-877-3328
Mailing Address - Street 1:1845 W ORANGE GROVE RD
Mailing Address - Street 2:125
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1134
Mailing Address - Country:US
Mailing Address - Phone:520-877-3328
Mailing Address - Fax:520-877-3329
Practice Address - Street 1:1845 W ORANGE GROVE
Practice Address - Street 2:125
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704
Practice Address - Country:US
Practice Address - Phone:520-877-3328
Practice Address - Fax:520-877-3329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0386213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ84008Medicare PIN