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Marciano David Bautista, DO
Family Medicine Physician in Glennallen, Alaska
NPI 1114078995

Marciano David Bautista is a Family Medicine Physician based in Glennallen, AK. Marciano David Bautista practices in Glennallen, AK and has the professional credentials of DO. The NPI Number for Marciano David Bautista is 1114078995 and holds a License No. 35579 (Alaska).

The current practice location address for Marciano David Bautista is Mile 187.5 Glenn Hwy, Glennallen, AK and can be reached out via phone at 907-822-3203.

Location: Mile 187.5 Glenn Hwy, Glennallen, AK, 99588-0589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114078995
Provider Name
Marciano David Bautista
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
Mile 187.5 Glenn Hwy, Glennallen, AK, 99588-0589
Phone Number
907-822-3203
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00673381 01 AK MEDICARE RAILROAD PTAN
1114078995 01 AK NPI
institution
Provider Business Practice Location Address Details
Address
Mile 187.5 Glenn Hwy
City
Glennallen
State
Alaska
Zip
99588-0589
Phone Number
907-822-3203
Fax Number
person
Provider Business Mailing Address Details
Address
Mile 187.5 Glenn Hwy
City
Glennallen
State
Alaska
Zip
99588-0589
Phone Number
907-822-3203
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
35579 (Colorado)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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