Individual
JUDY C BAACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10099 RIDGE GATE PKWY, #290, LONE TREE, CO 80124
(303) 791-2112
(303) 683-6415
Mailing address
PO BOX 261577, LITTLETON, CO 80163-1577
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31755
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59937740
—
CO
Enumeration date
04/27/2006
Last updated
07/08/2007
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