MARCIANO BAUTISTA, D.O.

Family Medicine

Active Individual
NPI: 1114078995

Practice Address

MILE 187.5 GLENN HWY
Glennallen, AK 99588

Phone: (907) 822-3203

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 5101013320 (MI)

Frequently Asked Questions

NPI 1114078995 is the National Provider Identifier for MARCIANO BAUTISTA, D.O., a Family Medicine provider located in Glennallen, AK. This NPI was enumerated on January 16, 2007.
MARCIANO BAUTISTA, D.O. practices at MILE 187.5 GLENN HWY, Glennallen, AK 99588.

Quick Facts

NPI
1114078995
Type
Individual
Enumerated
Jan 16, 2007
Last Updated
Mar 31, 2009

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