JOHN R. MARKHAM PC NPI 1104090737

NPI Information

JOHN R. MARKHAM PC is an eyewear supplier in Chino Valley, AZ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. JOHN R. MARKHAM PC NPI is 1104090737. The provider is registered as an organization entity type.
The provider Is Doing Business As Prescott Vision & Eye Surgery Center.

The provider's business location address is:

399 PALOMINO ROAD
CHINO VALLEY, AZ
ZIP 86323
Phone: (928) 636-5504
Fax: (928) 636-0780

The provider's authorized official is Scott Markham .
The authorized official title is Medical Director and has the following contact phone number (928) 778-3950.

The CLIA number assigned to this NPI record is 03D2047048 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 7/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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