Organization
SOUTHWESTERN GLAUCOMA CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A BATKO MD (PHYSICIAN)
(623) 933-0176
Entity
Organization
Contact information
Practice address
10615 W THUNDERBIRD BLVD, B300, SUN CITY, AZ 85351
(623) 933-0176
(623) 933-2808
Mailing address
10615 W THUNDERBIRD BLVD, B300 SOUTHWESTERN GLAUCOMA CONSULTANTS LTD, SUN CITY, AZ 85351
(623) 933-0176
(623) 933-2808
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11931
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234162
—
AZ
01
—
CS5659
RAILROAD
AZ
Enumeration date
12/24/2007
Last updated
12/24/2007
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