Search › Washington › 207R00000X
Jose Gomez Bautista, MD
NPI 1508354010 · on the registry since 2018 · sole proprietor
Practice
- Address
- 624 E Front Ave
Spokane, WA 99202 - Phone
- (509) 626-9900
- Fax
- (509) 626-9917
- Organisation at this address
- Spokane Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 140
Additional practice sites
- 101 W 8th Ave # 9n, Spokane, WA
- 401 W Poplar St, Walla Walla, WA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-19
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 Washington