Kokopelli Eye Care Surgery Center
Kokopelli Eye Care Surgery Center is an Ambulatory Surgical Clinic/Center in Prescott Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
2820 N Glassford Hill RdPrescott Valley, AZ 86314-1242
Phone: (928) 775-5606
Fax: (928) 772-4999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence OSC 0078 (AZ) |
|---|
Record details
| NPI number | 1205858875 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Ham — Owner/President · (928) 775-5606 |
| NPI enumerated | July 24, 2006 |
| Last updated in NPPES | July 10, 2007 |
| Mailing address | 2820 N Glassford Hill Rd, Prescott Valley, AZ 86314-1242 |
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