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Individual

DELIA BAUTISTA TOBIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNFA

Contact information

Practice address
1538 E FAIRVIEW ST, CHANDLER, AZ 85225-2222
(480) 545-2610
(480) 545-2673
Mailing address
1538 E FAIRVIEW ST, CHANDLER, AZ 85225-2222
(480) 545-2610
(480) 545-2673

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
RN041239
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1Z4004
HEALTHNET OF AZ
AZ
05
690512
AZ
01
AZ0165460
BCBS
AZ
Enumeration date
04/12/2006
Last updated
07/08/2007
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