Organization
RAYMOND P. BAKOTIC, DO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND P BAKOTIC DO (MEDICAL DIRECTOR)
(520) 469-7351
Entity
Organization
Contact information
Practice address
1925 W ORANGE GROVE RD, SUITE 209, TUCSON, AZ 85704-1143
(520) 469-7351
(520) 469-7355
Mailing address
1925 W ORANGE GROVE RD, SUITE 209, TUCSON, AZ 85704-1143
(520) 469-7351
(520) 469-7355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2712
AZ
Other
Enumeration date
02/14/2007
Last updated
01/30/2008
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