Individual
MR. STEVEN MICHAEL BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.
Contact information
Practice address
16440 S 32ND ST, PHOENIX, AZ 85048-7807
(928) 699-5399
Mailing address
16440 S 32ND ST, PHOENIX, AZ 85048-7807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0899
AZ
Other
Enumeration date
11/18/2011
Last updated
11/23/2015
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