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Individual

DR. ANTHONY BATTESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D

Contact information

Practice address
3821 W EL PASO ST, BROKEN ARROW, OK 74012-4513
(580) 919-8631
Mailing address
3821 W EL PASO ST, BROKEN ARROW, OK 74012-4513
(580) 919-8631

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2801
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200557140
OK
05
200557140A
OK
Enumeration date
08/12/2014
Last updated
12/27/2022
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