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Red Rock Pediatrics

Pediatrics in Cottonwood, AZ. Organization (NPI-2).

NPI number1023085115
StatusActive
Last updated in NPPESJun 24, 2009

Details

NPI
1023085115
Entity type
Organization (NPI-2)
Legal business name
Red Rock Pediatrics
Organization subpart
No
Enumeration date
Mar 7, 2006
Last updated
Jun 24, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics–AZYes

Practice location

800 Cove Pkwy
Cottonwood, AZ 86326-4644

Phone 928-649-3003 · Fax 928-649-3030

Mailing address

800 Cove Pkwy
Cottonwood, AZ 86326-4644

Phone 928-649-3003 · Fax 928-649-3030

Authorized official

Wendy Tuccille
President
9286493003

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatrics Physician providers in Cottonwood, AZ

All 8 Pediatrics Physician providers in Cottonwood · All 812 providers in Cottonwood

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