Provider Demographics
NPI:1609062660
Name:BAUTISTA, FEMABELLE (DO)
Entity Type:Individual
Prefix:
First Name:FEMABELLE
Middle Name:
Last Name:BAUTISTA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11279 PERRY HWY
Mailing Address - Street 2:SUITE 450
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9381
Mailing Address - Country:US
Mailing Address - Phone:724-933-1100
Mailing Address - Fax:724-933-1160
Practice Address - Street 1:8791 BARNES LAKE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-3176
Practice Address - Country:US
Practice Address - Phone:724-864-6834
Practice Address - Fax:724-864-6837
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2010-04-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS014029208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics