Individual
DR. JOHN R MARKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O D
Contact information
Practice address
1680 WILLOW CREEK RD, PRESCOTT, AZ 86301-1108
(928) 778-3950
(928) 778-3999
Mailing address
3192 WILLOW CREEK RD, PRESCOTT, AZ 86301-6610
(928) 778-3950
(928) 778-3999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
142
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033176
AHCCCS
AZ
05
—
033176
—
AZ
01
—
1263119
MERCYCARE
AZ
01
—
15220
AVESIS
—
01
—
153165
RAN & AMN
—
01
—
3Z0277
HEALTH NET
AZ
01
—
5858351
AETNA
—
01
—
866291-9714
HUMANA
—
01
—
AZ01170
MEDICARE SUBMITTER ID - CLINIC
AZ
01
—
AZ0142
EYEMED
—
01
—
DM2NNP
ARIZONA FOUNDATION
—
01
—
NNP12599
UNIVERSAL HEALTH CARE
AZ
01
—
Z63118
GROUP MEDICARE - CLINIC
AZ
Enumeration date
04/25/2006
Last updated
04/20/2016
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