Organization
PRESCOTT EYE CARE & SURGICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN W. MORTENSON MD (CEO)
(928) 445-9200
Entity
Organization
Contact information
Practice address
3769 CROSSING DRIVE, PRESCOTT, AZ 86305-1606
(928) 445-9200
(928) 772-8107
Mailing address
3192 WILLOW CREEK RD, PRESCOTT, AZ 86301-6610
(928) 445-1234
(928) 772-8107
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
—
Other
Enumeration date
10/01/2008
Last updated
05/24/2016
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