Kokopelli Eye Care PC

NPI #1023663010 in Peoria, Arizona

Provider Information

NPI Number: 1023663010
Entity Type: Organization
Organization Name: Kokopelli Eye Care PC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Aug 6, 2019
Last Updated: Aug 6, 2019

Practice Location

Address: 9151 W THUNDERBIRD RD STE 104
City: Peoria
State: Arizona
ZIP Code: 85381-4906
Phone: (844) 565-6393

Authorized Official

Name: DR. MICHAEL LEE HAM, MD
Title: PRESIDENT
Phone: (928) 771-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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