Kokopelli Eye Care Surgery Center

NPI 1205858875 - Clinic/Center - 261QA1903X

NPI Details
NPI 1205858875
Enumeration Date 07/24/2006
Last Updated 07/10/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL LEE MICHAEL
Position OWNER/PRESIDENT
Phone (928) 775-5606
Fax (928) 772-4999
Practice Location
2820 N GLASSFORD HILL RD
PRESCOTT VALLEY AZ, 86314-1242, US
Phone (928) 775-5606
Fax (928) 772-4999
Business Location
2820 N GLASSFORD HILL RD
PRESCOTT VALLEY AZ, 86314-1242, US
Phone (928) 775-5606
Fax (928) 772-4999
Toxanomy
Taxonomy Code 261QA1903X
License State Arizona
License Number OSC 0078
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According to our database, Kokopelli Eye Care Surgery Center NPI is 1205858875, taxonomy code is 261QA1903X and license number is OSC 0078, license state is located at Arizona. Kokopelli Eye Care Surgery Center physically located at 2820 N Glassford Hill Rd, Prescott Valley AZ, 86314-1242. NPI Number 1033115704 has the healthcare provider type.

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1205858875 NPI number is provided on an as is basis without warranty of any kind. 1205858875 is maintained by the National Plan & Provider Enumeration System. The contents of Kokopelli Eye Care Surgery Center are for informational purposes only.