Organization
BAUTISTA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FE L. BAUTISTA M.D. (CO-OWNER)
(502) 538-7425
Entity
Organization
Contact information
Practice address
161 WEST AVE, MT WASHINGTON, KY 40047-7636
(502) 538-7425
Mailing address
161 WEST AVE, MT WASHINGTON, KY 40047-7636
(502) 538-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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