KOKOPELLI EYE CARE PC NPI 1528005444

NPI Information

KOKOPELLI EYE CARE PC is a specialist in Prescott Valley, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KOKOPELLI EYE CARE PC NPI is 1528005444. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2820 N GLASSFORD HILL RD
SUITE 101
PRESCOTT VALLEY, AZ
ZIP 86314-242
Phone: (928) 775-5606
Fax: (928) 772-4999

The provider's authorized official is Michael Lee Ham .
The authorized official title is President and has the following contact phone number (928) 775-5606.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 7/16/2012.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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