Marciano David Bautista, DO

Individual provider Family Medicine Physician · NPI 1114078995

Marciano David Bautista, DO is a Family Medicine Physician in Glennallen, Alaska. Licensed in Alaska, Colorado and Michigan. Registered with an NPI since 2007.

Licensed in: AK, CO, MI
In the registry since: 2007
Specialties on file: 3

What do these letters mean?

DO — Doctor of Osteopathic Medicine: A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Mile 187.5 Glenn Hwy
Glennallen, AK 99588-0589
Phone: (907) 822-3203

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary)	Taxonomy 207Q00000X · Licence 4535 (AK)
Family Medicine Physician	Taxonomy 207Q00000X · Licence 35579 (CO)
Family Medicine Physician	Taxonomy 207Q00000X · Licence 5101013320 (MI)

Record details

NPI number	1114078995
Entity type	Individual (Type 1)
Gender	Male
Credentials	DO
Sole proprietor	No
NPI enumerated	January 16, 2007
Last updated in NPPES	March 31, 2009