Individual
DR. HAROLD C BAUTISTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3312 FALL HILL AVE, FREDERICKSBURG, VA 22401-3000
(540) 371-7730
(540) 371-4790
Mailing address
3312 FALL HILL AVE, FREDERICKSBURG, VA 22401-3000
(540) 371-7730
(540) 371-4790
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101048334
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6908057
—
VA
01
—
P00008506
MEDICARE RAILROAD
VA
Enumeration date
05/02/2006
Last updated
07/08/2007
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