Kokopelli Eye Care PC

NPI #1528005444 in Prescott Valley, Arizona

Provider Information

NPI Number: 1528005444
Entity Type: Organization
Organization Name: Kokopelli Eye Care PC
Primary Specialty: Specialist
Enumeration Date: May 31, 2006
Last Updated: Jul 16, 2012

Practice Location

Address: 2820 N GLASSFORD HILL RD
Address 2: SUITE 101
City: Prescott Valley
State: Arizona
ZIP Code: 86314-1242
Phone: (928) 775-5606

Authorized Official

Name: DR. MICHAEL LEE HAM, M.D.
Title: PRESIDENT
Phone: (928) 775-5606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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