Organization
BAUTISTA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN G BAUTISTA MD (CEO)
(559) 252-7301
Entity
Organization
Contact information
Practice address
5339 E KINGS CANYON RD, FRESNO, CA 93727-4527
(559) 252-7301
(559) 252-1419
Mailing address
5339 E KINGS CANYON RD, FRESNO, CA 93727-4527
(559) 252-7301
(559) 252-1419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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