Individual
GODOFREDO BAUTISTA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
134 S. PITTSBURGH ST, CONNELLSVILLE, PA 15425
(724) 628-0310
Mailing address
134 S. PITTSBURGH ST, CONNELLSVILLE, PA 15425
(724) 628-0310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD032299-L
PA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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