Individual
COREY GREGORY BATISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 NE 87TH AVE STE 100, VANCOUVER, WA 98664-4801
(360) 514-7210
(360) 514-7211
Mailing address
20542 N LAKE PLEASANT RD, STE 105, PEORIA, AZ 85382-9749
(602) 753-2700
(480) 359-4424
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
37045
AZ
207W00000X
Ophthalmology Physician
MD428632
PA
207W00000X
Ophthalmology Physician
Primary
MD60771806
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222665
—
AZ
Enumeration date
05/12/2006
Last updated
02/16/2021
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