Taylor Bautista, PA-C
NPI #1528452208 in Bolling Afb, District of Columbia
Provider Information
- NPI Number
- 1528452208
- Entity Type
- Individual
- Name
- Taylor Bautista, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 20, 2015
- Last Updated
- Oct 15, 2024
Practice Location
- Address
- 238 BROOKLEY AVE SW BLDG 1300
- City
- Bolling Afb
- State
- District of Columbia
- ZIP Code
- 20032-7704
- Phone
- (202) 404-2544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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