Organization
ADVENT LLC
Active
Other names
Glaucoma Center of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
COREY GREGORY BATISTE MD (MANAGER)
(602) 753-2700
Entity
Organization
Contact information
Practice address
20542 N LAKE PLEASANT RD, 105, PEORIA, AZ 85382-9749
(602) 753-2700
(480) 359-4424
Mailing address
5150 N 16TH ST, STE B232, PHOENIX, AZ 85016-3990
(602) 753-2700
(480) 359-4424
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37045
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
655641
—
AZ
Enumeration date
08/17/2011
Last updated
01/13/2012
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