Individual
MICHAEL LEE HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2820 N GLASSFORD HILL RD, STE 101, PRESCOTT VALLEY, AZ 86314-2256
(928) 775-5606
(928) 772-4999
Mailing address
2820 N GLASSFORD HILL RD, STE 101, PRESCOTT VALLEY, AZ 86314-2256
(928) 775-5606
(928) 772-4999
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26357
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XPY190835
—
CA
Enumeration date
06/08/2005
Last updated
07/16/2012
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