Individual
DR. FELINO BAUTISTA DELEON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3716 PACIFIC AVE, SUITE #D, TACOMA, WA 98418
(253) 474-7719
(253) 471-8592
Mailing address
3716 PACIFIC AVE, SUITE #D, TACOMA, WA 98418
(253) 474-7719
(253) 471-8592
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00022250
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022730
—
WA
Enumeration date
09/02/2006
Last updated
11/01/2010
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