Organization
KOKOPELLI EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEE HAM M.D. (PRESIDENT)
(928) 775-5606
Entity
Organization
Contact information
Practice address
2820 N GLASSFORD HILL RD, SUITE 101, PRESCOTT VALLEY, AZ 86314-1242
(928) 775-5606
(928) 772-4999
Mailing address
2820 N GLASSFORD HILL RD, SUITE 101, PRESCOTT VALLEY, AZ 86314-1242
(928) 775-5606
(928) 772-4999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26357
AZ
Other
Enumeration date
05/31/2006
Last updated
07/16/2012
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