Organization
L. JUDITH BAUTISTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA JUDITH BAUTISTA M.D. (PRESIDENT)
(907) 622-6244
Entity
Organization
Contact information
Practice address
341 W TUDOR RD, STE 101, ANCHORAGE, AK 99503-6639
(907) 563-1777
(907) 561-7464
Mailing address
PO BOX 241889, ANCHORAGE, AK 99524-1889
(907) 563-1777
(907) 561-7464
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
2785
AK
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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