Provider Demographics
NPI:1558457721
Name:OCHOA, DAVID J (RADIOGRAPHER REG EL)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:OCHOA
Suffix:
Gender:M
Credentials:RADIOGRAPHER REG EL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 W DECATUR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205
Mailing Address - Country:US
Mailing Address - Phone:509-324-0424
Mailing Address - Fax:
Practice Address - Street 1:1115 B STREET
Practice Address - Street 2:BENEWAH MEDICAL CENTER
Practice Address - City:PLUMMER
Practice Address - State:ID
Practice Address - Zip Code:83851
Practice Address - Country:US
Practice Address - Phone:208-686-1931
Practice Address - Fax:208-686-7033
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist