Individual
DR. BRIAN JOHN COURTRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3153 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2240
(928) 771-9939
(928) 772-3972
Mailing address
3153 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2240
(928) 771-9939
(928) 772-3972
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
909
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24871
AVESIS NUMBER
AZ
01
—
410049678
RAILROAD MEDICARE #
AZ
01
—
4844460001
MEDICARE DMERC
AZ
05
—
757768
—
AZ
01
—
AZ0903430
BCBS UMBER
AZ
Enumeration date
01/16/2006
Last updated
03/30/2009
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