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Dr. Andre Barranda Bautista, MD
Student in an Organized Health Care Education/Training Program in Tacoma, Washington
NPI 1164665444

Andre Barranda Bautista is a Student in an Organized Health Care Education/Training Program based in Tacoma, WA. Andre Barranda Bautista practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Andre Barranda Bautista is 1164665444 and holds a License No. MD60545139 (Washington).

The current practice location address for Andre Barranda Bautista is 1304 Fawcett Ave, Tacoma, WA and can be reached out via phone at 253-761-4200 and via fax at 253-383-3553. You can also correspond with Andre Barranda Bautista through the mailing address at 1304 FAWCETT AVE, TACOMA, WA - 98402-1911 (mailing address contact number: 253-761-4200).

Location: 1304 Fawcett Ave, Tacoma, WA, 98402-1911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164665444
Provider Name
Andre Barranda Bautista
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1304 Fawcett Ave, Tacoma, WA, 98402-1911
Phone Number
253-761-4200
Fax Number
253-383-3553
Provider Enumeration Date
04/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2044117 05 WA
institution
Provider Business Practice Location Address Details
Address
1304 Fawcett Ave
City
Tacoma
State
Washington
Zip
98402-1911
Phone Number
253-761-4200
Fax Number
253-383-3553
person
Provider Business Mailing Address Details
Address
1304 Fawcett Ave
City
Tacoma
State
Washington
Zip
98402-1911
Phone Number
253-761-4200
Fax Number
253-383-3553
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
MD60545139 (Washington)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD60545139 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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