Organization
GEORGE BACA MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MARK BACA MD (DIRECTOR)
(505) 872-2929
Entity
Organization
Contact information
Practice address
5808 MCLEOD RD NE, SUITE K, ALBUQUERQUE, NM 87109-2455
(505) 872-2929
(505) 872-9503
Mailing address
5808 MCLEOD RD NE, SUITE K, ALBUQUERQUE, NM 87109-2455
(505) 872-2929
(505) 872-9503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
89-5
NM
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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