Individual
FRANCES RAQUEL BACCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01010235856
VA
207L00000X
Anesthesiology Physician
Primary
01073575A
IN
207L00000X
Anesthesiology Physician
14335
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010065640
—
VA
01
—
AA142266
HARVARD PILGRIM HEALTHCARE OF NEW ENGLAND
NH
Enumeration date
10/20/2005
Last updated
11/22/2022
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