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Contact Information

JOHN R. MARKHAM PC
399 PALOMINO ROAD
CHINO VALLEY, AZ86323
 Phone: 928-636-5504
 Fax: 928-636-0780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JOHN R. MARKHAM PC

NPI Number 1104090737
LBN Legal business name JOHN R. MARKHAM PC
Authorized official SCOTT MARKHAM - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2008
Last updated 07/01/2008 - About 18 years ago
Identifiers
AZ Medicaid 033176
AZ Medicaid 190721
Other 5858351 AETNA
Other 15220 AVESIS
Other 0384690001 DMERC OPTICAL SUPPLIER - PRESCOTT
Other 866291-9714 HUMANA
Other AZ01170 MEDICARE SUBMITTER ID - PRESCOTT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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