CARLOS BAUTISTA

BOISE, ID
NPI1134417272
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  243704-1)
Enumeration Date2011-07-11
Last Update Date2011-07-11
Business Address
-- CARLOS BAUTISTA MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
Mailing Address
-- CARLOS BAUTISTA MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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