Organization
PRESCOTT EYE CARE & SURGICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN WORTHEN MORTENSON M.D. (CEO/ MEDICAL DIRECTOR)
(928) 445-1234
Entity
Organization
Contact information
Practice address
3192 WILLOW CREEK RD, PRESCOTT, AZ 86301-6610
(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
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2006
Last updated
02/09/2017
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