Provider Demographics
NPI:1265617815
Name:ROBERT H JOCHIM, MD LTD
Entity type:Organization
Organization Name:ROBERT H JOCHIM, MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:JOCHIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-634-5513
Mailing Address - Street 1:PO BOX 988
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-0988
Mailing Address - Country:US
Mailing Address - Phone:928-634-5513
Mailing Address - Fax:928-634-0056
Practice Address - Street 1:696 E MINGUS AVE
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-3759
Practice Address - Country:US
Practice Address - Phone:928-634-5513
Practice Address - Fax:928-634-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ75906Medicare PIN