Individual
ERIC BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1620 BROADWAY STE 100A, SEATTLE, WA 98122-2560
(888) 663-6331
(415) 252-7176
Mailing address
306 23RD AVE S STE 200, SEATTLE, WA 98144-2371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61233955
WA
Other
Enumeration date
03/22/2014
Last updated
04/17/2025
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