Individual
DR. REBECCA YAEL BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-0467
(505) 846-3200
Mailing address
1405 CANYON HILLS DR NE, ALBUQUERQUE, NM 87112-6397
(518) 269-1213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2016-0537
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36125342
—
NM
Enumeration date
06/14/2011
Last updated
10/07/2024
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