Provider Demographics
NPI:1578737573
Name:COCHISE ORTHOPAEDIC SURGEONS PC
Entity Type:Organization
Organization Name:COCHISE ORTHOPAEDIC SURGEONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES SEC
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:520-458-0650
Mailing Address - Street 1:1951 S FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635
Mailing Address - Country:US
Mailing Address - Phone:520-458-0650
Mailing Address - Fax:520-459-7030
Practice Address - Street 1:1951 S FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635
Practice Address - Country:US
Practice Address - Phone:520-458-0650
Practice Address - Fax:520-459-7030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1463207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty