Individual
DR. ALEJANDRO ANTONIO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81-715 DR. CARREON BLVD, STE B1, INDIO, CA 92201-5518
(760) 347-1850
(760) 347-8337
Mailing address
81-719 DR. CARREON BLVD, STE A, INDIO, CA 92201-5518
(760) 342-8898
(760) 342-9457
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
G70233
CA
Other
Enumeration date
10/24/2006
Last updated
04/09/2012
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