DR. Mario Bautista, MD

NPI #1619955192 in Jackson, Ohio

Provider Information

NPI Number: 1619955192
Entity Type: Individual
Name: DR. Mario Bautista, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jan 5, 2006
Last Updated: Nov 25, 2020

Practice Location

Address: 1000 VETERANS DR
City: Jackson
State: Ohio
ZIP Code: 45640-9586
Phone: (740) 395-8090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Pediatrics - Pediatric Emergency Medicine — Pediatric Emergency Medicine	2080P0204X

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