Dr ANDRE BAUTISTA is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2009.
TRA-MINW, PS
1455 BATTERSBY AVE
ENUMCLAW
WA
980223634
Tel: 2537614200
| Npi | 1164665444 |
| Pac Id | 0547573263 |
| Professional Enrollment Id | I20150723007521 |
| Last Name | BAUTISTA |
| First Name | ANDRE |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | INTERVENTIONAL RADIOLOGY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Organization Legal Name | TRA-MINW, PS |
| Group Practice Pac Id | 2163316167 |
| Number Of Group Practice Members | 107 |
| Line 1 Street Address | 1455 BATTERSBY AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ENUMCLAW |
| State | WA |
| Zip Code | 980223634 |
| Phone Number | 2537614200 |
| Hospital Affiliation Ccn 1 | 500129 |
| Hospital Affiliation Lbn 1 | TACOMA GENERAL ALLENMORE HOSPITAL |
| Hospital Affiliation Ccn 2 | 500079 |
| Hospital Affiliation Lbn 2 | MULTICARE GOOD SAMARITAN HOSPITAL |
| Hospital Affiliation Ccn 3 | 500151 |
| Hospital Affiliation Lbn 3 | ST ANTHONY HOSPITAL |
| Hospital Affiliation Ccn 4 | 500141 |
| Hospital Affiliation Lbn 4 | ST FRANCIS COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 5 | 500108 |
| Hospital Affiliation Lbn 5 | ST JOSEPH MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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