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Dr. Mario Bautista, MD
Pediatrics Physician in Jackson, Ohio
NPI 1619955192

Mario Bautista is a Pediatrics Physician based in Chillicothe, OH. Mario Bautista practices in Jackson, OH and has the professional credentials of MD. The NPI Number for Mario Bautista is 1619955192 and holds a License No. 2004-0547 (Ohio).

The current practice location address for Mario Bautista is 1000 Veterans Dr, Jackson, OH and can be reached out via phone at 740-395-8090 and via fax at 740-395-8197.

Location: 1000 Veterans Dr, Jackson, OH, 45601-9031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619955192
Provider Name
Mario Bautista
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Veterans Dr, Jackson, OH, 45601-9031
Phone Number
740-395-8090
Fax Number
740-395-8197
Provider Enumeration Date
01/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10016535 01 NM LOVELACE HEALTH/SALUD
P00137209 01 RAILROAD MEDICARE
PROVP11655 01 NM MOLINA
201047701 01 NM PRESBYTERIAN HEALTH/SALUD
2711211 05 OH
885808 01 AZ AHCCCS
99238071 05 NM
NM009R63 01 NM BC/BS
institution
Provider Business Practice Location Address Details
Address
1000 Veterans Dr
City
Jackson
State
Ohio
Zip
45640-9586
Phone Number
740-395-8090
Fax Number
740-395-8197
person
Provider Business Mailing Address Details
Address
1000 Veterans Dr
City
Jackson
State
Ohio
Zip
45640-9586
Phone Number
740-395-8090
Fax Number
740-395-8197
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
2004-0547 (New Mexico)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Emergency Medicine
Taxonomy
2080P0204X
License No.
2004-0547 (New Mexico)
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
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