Individual
DR. JOSEF EDRIK KEITH ABIOG BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD15199
RI
207RN0300X
Nephrology Physician
Primary
MD61032416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157737
—
WA
Enumeration date
07/23/2012
Last updated
03/01/2021
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