| Raymond P. Bakotic, Do, Pllc | |
|
1925 W Orange Grove Rd Suite 209 Tucson AZ 85704-1143 | |
| (520) 469-7351 | |
| (520) 469-7355 |
| Full Name | Raymond P. Bakotic, Do, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1925 W Orange Grove Rd, Tucson, Arizona |
| Authorized Official Name and Position | Raymond P Bakotic (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5204697351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond P. Bakotic, Do, Pllc 1925 W Orange Grove Rd Suite 209 Tucson AZ 85704-1143 Ph: (520) 469-7351 | Raymond P. Bakotic, Do, Pllc 1925 W Orange Grove Rd Suite 209 Tucson AZ 85704-1143 Ph: (520) 469-7351 |
| NPI Number | 1265575062 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 01/30/2008 |
| Medicare PECOS PAC ID | 9032218235 |
|---|---|
| Medicare Enrollment ID | O20070928000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265575062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2712 (Arizona) | Primary |
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