SearchAlaska207Q00000X

Marciano Bautista, D.O

NPI 1114078995 · on the registry since 2007

Practice

Address
Mile 187.5 Glenn Hwy
Glennallen, AK 99588
Phone
(907) 822-3203
Clinicians at this address
3

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
207Q00000X
Licence states on file
CO, AK, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska