Mark Gerard D Bautista, PA-C | |
104 W D. L. Ingram Ave., Cannon Afb, Clovis, NM 88101 | |
(575) 904-3831 | |
Not Available |
Full Name | Mark Gerard D Bautista |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 104 W D. L. Ingram Ave., Clovis, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912487455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Mark Gerard D Bautista, PA-C 4881 Sugar Maple Dr, Wright Pat, OH 45433-5529 Ph: () - | Mark Gerard D Bautista, PA-C 104 W D. L. Ingram Ave., Cannon Afb, Clovis, NM 88101 Ph: (575) 904-3831 |
Dean M Kot, Physician Assistant Medicare: Medicare Enrolled Practice Location: 104 W D. L. Ingram Ave, Clovis, NM 88101 Phone: 575-904-6810 | |
Charla Marie Dunn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 N Mlk Blvd, Clovis, NM 88101 Phone: 575-769-7494 Fax: 575-769-7324 | |
Mr. Charles Daniel Otero, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Arizona St, Suite A, Clovis, NM 88101 Phone: 575-742-3033 Fax: 575-742-1133 | |
Matthew Laumbach, MPAS PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 W 21st St, Clovis, NM 88101 Phone: 575-769-7577 | |
Yannick Sharras, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Albright Ave E, Clovis, NM 88103 Phone: 470-830-3811 | |
Robert Dale Bitner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 208 W Casablanca Ave, Bldg 1400 Cannon Afb 27 Medical Group, Clovis, NM 88103 Phone: 505-784-6608 Fax: 505-784-6028 |