DR. Dan F Bautista, M.D.

NPI #1629006903 in Fairborn, Ohio

Provider Information

NPI Number: 1629006903
Entity Type: Individual
Name: DR. Dan F Bautista, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 28, 2006
Last Updated: Sep 19, 2011

Practice Location

Address: 1840 COMMERCE CENTER BLVD
City: Fairborn
State: Ohio
ZIP Code: 45324-6337
Phone: (937) 754-4580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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