Bautista Research Medical Clinic | |
2505 Merced St Fresno CA 93721-1811 | |
(559) 445-0391 | |
(559) 445-0316 |
Full Name | Bautista Research Medical Clinic |
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Speciality | Physician Assistant |
Location | 2505 Merced St, Fresno, California |
Authorized Official Name and Position | Jose Luis Bautista (MEDICAL DIRECTOR) |
Authorized Official Contact | 5594450391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bautista Research Medical Clinic 2505 Merced St Fresno CA 93721-1811 Ph: (559) 445-0391 | Bautista Research Medical Clinic 2505 Merced St Fresno CA 93721-1811 Ph: (559) 445-0391 |
NPI Number | 1487634317 |
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Provider Enumeration Date | 01/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487634317 | NPI | - | NPPES |
ZZZ3862Z | Other | CA | BLUE SHIELD |
GR0063040 | Other | CA | MEDI-CAL |
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