Marciano David Bautista, D.O.
NPI #1114078995 in Glennallen, Alaska
Provider Information
- NPI Number
- 1114078995
- Entity Type
- Individual
- Name
- Marciano David Bautista, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Mar 31, 2009
Practice Location
- Address
- MILE 187.5 GLENN HWY
- City
- Glennallen
- State
- Alaska
- ZIP Code
- 99588-0589
- Phone
- (907) 822-3203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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