Individual
DR. MERRICK LESTER BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
376 W 10TH AVE, COLUMBUS, OH 43210-1280
(613) 293-3570
Mailing address
376 W 10TH AVE, COLUMBUS, OH 43210-1280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T0716
TX
Other
Enumeration date
04/02/2018
Last updated
08/12/2021
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