Diana Bautista
Medical Specialty
Professional ID
- NPI: 1699922997
- PECOS ID: 0749551091
- Enrollment ID: I20170803003508
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2017
Medical Practices
- Organization Name: Dr Ganns Diet Of Hope Llc
- Group Practice ID assigned by PECOS: 5395994867
- Number of Group Practice member: 9
Location
- Address1: 50 E Croydon Park Rd
- Address2:
- City: Tucson
- State: Arizona
- Zip Code: 85704
- Phone Number: (520)696-3438
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):