Arwinnah Bautista M.d., A Professional Corporation | |
2612 Temescal Dr Modesto CA 95355-8698 | |
(209) 985-1845 | |
(209) 551-8594 |
Full Name | Arwinnah Bautista M.d., A Professional Corporation |
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Speciality | Internal Medicine |
Location | 2612 Temescal Dr, Modesto, California |
Authorized Official Name and Position | Arwinnah Bautista (PRESIDENT) |
Authorized Official Contact | 2099851845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Arwinnah Bautista M.d., A Professional Corporation Po Box 576825 Modesto CA 95357-6825 Ph: (209) 985-1845 | Arwinnah Bautista M.d., A Professional Corporation 2612 Temescal Dr Modesto CA 95355-8698 Ph: (209) 985-1845 |
NPI Number | 1720278450 |
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Provider Enumeration Date | 07/30/2007 |
Last Update Date | 07/30/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720278450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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