Individual
DR. JOAQUIN BACA BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
202 E EARLL DR, STE 160, PHOENIX, AZ 85012-2636
(602) 239-6880
(602) 239-6988
Mailing address
202 E EARLL DR, STE 160, PHOENIX, AZ 85012-2636
(602) 239-6880
(602) 239-6988
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R70151
AZ
Other
Enumeration date
06/17/2008
Last updated
09/24/2019
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