Arizona
Board of Licensing
Aristides M. Bautista PA
Physician Assistant
License number
3430
Date granted
04/20/2006
Class
Physician Assistant
Status
Expired
Address
Four Corners Gastroenterology Consultants, 940 W Pinon St, Farmington NM 87401-5905
arizonalicensing.com
ID 22721892
LAST UPDATED 2024-03-15 08:56:04 UTC
LAST UPDATED 2024-03-15 08:56:04 UTC