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Individual

EDWIN L BACA

Active
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Individual

EDWIN L BACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0045333
CO
2083X0100X
Occupational Medicine Physician
45333
CO

Other

Enumeration date
04/25/2007
Last updated
07/28/2016
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