DR. Roxanne Bautista, MD

NPI #1881211605 in Springfield, Illinois

Provider Information

NPI Number: 1881211605
Entity Type: Individual
Name: DR. Roxanne Bautista, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 27, 2020
Last Updated: Jun 27, 2020

Practice Location

Address: 520 N 4TH ST
City: Springfield
State: Illinois
ZIP Code: 62702-5238
Phone: (217) 545-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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