KOKOPELLI EYE CARE SURGERY CENTER

Adult Day Care

OIG CLEAR⚠ MEDICARE REVOKEDNPI VERIFIED

Location

PRESCOTT VALLEY, AZ

Licensed since

2006

Rate

—

Federal identifiers

NPI registry number1205858875

Agency details

Medicare activity

Status⚠ Revoked — cannot bill Medicare

Authorized official

NameMICHAEL HAM

TitleOWNER/PRESIDENT