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MS. MELANIE ANN BACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
MSC 09 5040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2111
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-2015-0082
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/16/2012
Last updated
12/30/2024
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