Brandon Robert Bautista

NPI #1043956857 in Boise, Idaho

Provider Information

NPI Number: 1043956857
Entity Type: Individual
Name: Brandon Robert Bautista
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: May 5, 2022
Last Updated: Jun 30, 2025

Practice Location

Address: 1055 N CURTIS RD
City: Boise
State: Idaho
ZIP Code: 83706-1309
Phone: (208) 367-7350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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