JOHN R. MARKHAM PC; NPI #1194999722

Contact Information

JOHN R. MARKHAM PC

1680 WILLOW CREEK RD
PRESCOTT, AZ 86301-1108

Phone: 928-778-3950
Fax: 928-778-3999
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for JOHN R. MARKHAM PC

NPI Number 1194999722

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 10/15/2008 - About 18 years ago

Identifiers

AZ	Medicaid	033176
AZ	Medicaid	190721
	Other	5858351	AETNA
	Other	15220	AVESIS
	Other	866291-9714	HUMANA
	Other	63119	MEDICARE - UNSPECIFIED
	Other	AZ01170	MEDICARE SUBMITTER ID - CLINIC

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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JOHN R. MARKHAM PC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for JOHN R. MARKHAM PC

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