Individual
DR. ADAM WALLACE BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 781-7200
(816) 792-7196
Mailing address
PO BOX 804408, KANSAS CITY, MO 64180-4408
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2020041115
MO
207L00000X
Anesthesiology Physician
MD044098
DC
Other
Enumeration date
04/02/2012
Last updated
07/25/2024
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