| NPI | 1619470085 |
|---|---|
| Doing Business As | KOKOPELLI EYE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE HAM President 928-775-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 26357) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |