Individual
EDITH CARPIO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10535 HOSPITAL WAY, VA SACRAMENTO MEDICAL CENTER, SURGICAL SERVICES, MATHER, CA 95655-4200
(916) 366-5410
Mailing address
7775 S OAK WAY, SACRAMENTO, CA 95831-4453
(916) 427-4424
(916) 427-4425
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G85461
CA
Other
Enumeration date
02/14/2006
Last updated
08/20/2007
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