Organization · Type 2 NPI

Kokopelli Eye Care PC

Ambulatory Surgical Clinic/Center · Prescott, AZ

NPI number 1114140019 Active

Practice location

412 Whipple St
Prescott, AZ 86301-1712

Call (928) 771-9000 Map

Fax (928) 771-9460

Mailing address

2820 N Glassford Hill Rd, Suite 101
Prescott Valley, AZ 86314-1242

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XOSC3634 (AZ)

Ambulatory Surgical Clinic/Center: Definition to come...

6 other providers at this address

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About NPI 1114140019

Kokopelli Eye Care PC's National Provider Identifier is 1114140019, issued on Apr 10, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Prescott, AZ. The record was last updated on Nov 16, 2007.