Organization
DESERT FAMILY EYE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY JOHN CORBRIDGE O.D. (OWNER/ PRESIDENT)
(928) 757-5005
Entity
Organization
Contact information
Practice address
2187 AIRWAY AVE, KINGMAN, AZ 86409-3669
(928) 757-5005
(928) 757-9057
Mailing address
2187 AIRWAY AVE, KINGMAN, AZ 86409-3669
(928) 757-5005
(928) 757-9057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
829
AZ
Other
Enumeration date
04/25/2006
Last updated
05/12/2008
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