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NPI Verification

National Provider Identifier: 1134417272

Carlos Bautista, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

777 N RAYMOND ST

BOISE, ID 837049251

Phone: 208-514-2500

NPI Enumeration Date

July 11, 2011

NPI Number

1134417272

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry