Marciano Bautista, D.O.
NPI 1114078995 · Family Medicine Physician · Glennallen, AK
Marciano Bautista, D.O. is a Family Medicine Physician provider in Glennallen, AK (NPI 1114078995).
Provider details
- NPI number
- 1114078995
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 35579 (CO)
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2009-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.