Amber Bautista

NPI #1295076081 in Tulsa, Oklahoma

Provider Information

NPI Number: 1295076081
Entity Type: Individual
Name: Amber Bautista
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 5, 2013
Last Updated: Mar 5, 2013

Practice Location

Address: 1870 S BOULDER AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74119-5234
Phone: (918) 585-1213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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