Kokopelli Eye Care PC
NPI #1174026546 in Wickenburg, Arizona
Provider Information
- NPI Number
- 1174026546
- Entity Type
- Organization
- Organization Name
- Kokopelli Eye Care PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 13, 2018
- Last Updated
- Mar 13, 2018
Practice Location
- Address
- 25 W YAVAPAI ST
- City
- Wickenburg
- State
- Arizona
- ZIP Code
- 85390-3280
- Phone
- (844) 565-6393
Authorized Official
- Name
- MICHAEL LEE HAM, MD
- Title
- PRESIDENT
- Phone
- (928) 775-5606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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