Individual
DARWIN MORDHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1280 GAIL GARDNER WAY, PRESCOTT, AZ 86305-1641
(928) 499-3136
Mailing address
1280 GAIL GARDNER WAY, PRESCOTT, AZ 86305-1641
(928) 499-3136
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1176
AZ
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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