Provider Demographics
NPI:1841666914
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:PRESIDENT
Authorized Official - Prefix:
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:520-907-1104
Mailing Address - Street 1:1845 W ORANGE GROVE RD STE 125
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1146
Mailing Address - Country:US
Mailing Address - Phone:520-877-3328
Mailing Address - Fax:
Practice Address - Street 1:1845 W ORANGE GROVE RD STE 125
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1146
Practice Address - Country:US
Practice Address - Phone:520-877-3328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0386213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty