| NPI | 1659513760 |
|---|---|
| Doing Business As | PRESCOTT VISION & EYE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | GREG DAVIS Administrator 928-778-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 4498) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |