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Eric Bautista, M.D.

Internal Medicine in Seattle, WA. Individual provider (NPI-1).

NPI number1437576972
StatusActive
Last updated in NPPESApr 17, 2025

Details

NPI
1437576972
Entity type
Individual (NPI-1)
Name
Eric Bautista
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 22, 2014
Certification date
Apr 17, 2025
Last updated
Apr 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine61233955WAYes

Practice location

1620 Broadway Ste 100a
Seattle, WA 98122-2560

Phone 888-663-6331 · Fax 415-252-7176

Mailing address

306 23rd Ave S Ste 200
Seattle, WA 98144-2371

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