Individual
DR. MARSHALL G BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2411 OSBORNE RD, CARLSBAD, NM 88220-3265
(505) 885-2188
(505) 885-6486
Mailing address
2411 OSBORNE RD, CARLSBAD, NM 88220-3265
(505) 885-2188
(505) 885-6486
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
96-5
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H5181
—
NM
Enumeration date
12/28/2005
Last updated
11/08/2024
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