Individual
DR. MANUEL FRANCISCO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9115 BRIDGEPORT WAY SW, STE 1, LAKEWOOD, WA 98499-2499
(253) 581-6303
(253) 581-3316
Mailing address
PO BOX 39398, DR MANUEL F BAUTISTA INC PS, LAKEWOOD, WA 98439-0398
(253) 581-6303
(283) 581-3316
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00026599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1071117
—
WA
Enumeration date
09/28/2006
Last updated
07/08/2007
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