| NPI | 1023663010 |
|---|---|
| Doing Business As | KOKOPELLI EYE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE HAM President 928-771-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |