DR. Constancio M Bautista, M.D.

NPI #1417937962 in Mt Washington, Kentucky

Provider Information

NPI Number
1417937962
Entity Type
Individual
Name
DR. Constancio M Bautista, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Jan 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
161 WEST ST
ZIP Code
40047-7184
Phone
(502) 538-7425

Specialties & Taxonomy Codes

Specialty
Specialist

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