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NPI Code Detail

MEDICARE: TRITON CARE SYSTEMS PLLC

MEDICARE: TRITON CARE SYSTEMS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11760485874OTHERNPI TYPE 1

General Provider Information

NPI Number : 1326672221
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRITON CARE SYSTEMS PLLC
Provider Business Mailing Address
First Line : 3155 STILLWATER DR STE A
Second Line :
City : PRESCOTT
State : AZ
Zip : 86305-7172
Country : US
Telephone Number : 928-227-1738
Fax Number :
Provider Business Practice Location Address
First Line : 3155 STILLWATER DR STE A
Second Line :
City : PRESCOTT
State : AZ
Zip : 86305-7172
Country : US
Telephone Number : 928-227-1738
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GARY LEE MORGAN
Credential : OD
Telephone Number : 623-640-5390
Provider Enumeration Date : 02/28/2020
Last Update Date : 02/28/2020

Similar Medicare Providers

1760485874 — DR. GARY L MORGAN O.D.
Practice Location Address:
3155 STILLWATER DR STE A
PRESCOTT, AZ
86305-7172
Practice Phone: 928-227-1738
Practice Fax: 928-583-7992
1346577632 — RICHARD COVEY, MD, PC
Practice Location Address:
3155 STILLWATER DR , SUITE B
PRESCOTT, AZ
86305-7172
Practice Phone: 928-777-8000
Practice Fax: 928-777-8104
1295573434 — TAYTUM RAE VERMILYEA PA-C
Practice Location Address:
1050 GAIL GARDNER WAY STE 300
PRESCOTT, AZ
86305-1640
Practice Phone: 928-717-5232
Practice Fax: 928-717-5238
1073516589 — DR. DAVID ANDREW GREEN M.D.
Practice Location Address:
1090 COMMERCE DR
PRESCOTT, AZ
86305-3700
Practice Phone: 928-583-1000
Practice Fax:
1043214372 — LIFE LINE AMBULANCE SERVICE INC
Practice Location Address:
915 HINMAN ST
PRESCOTT, AZ
86305-1619
Practice Phone: 928-445-3814
Practice Fax:
1710981329 — DR. DON A REGER DC
Practice Location Address:
1555 W IRON SPRINGS RD , STE 12
PRESCOTT, AZ
86305-1395
Practice Phone: 928-778-9116
Practice Fax: 928-541-0384

Directions to “TRITON CARE SYSTEMS PLLC ” Practice Location

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