Individual
DR. JOSE GOMEZ BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
624 E FRONT AVE, SPOKANE, WA 99202-2139
(509) 626-9900
(509) 626-9917
Mailing address
1829 W 25TH CT, KENNEWICK, WA 99337-3613
(509) 579-9141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61127903
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2018
Last updated
10/19/2021
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