Individual
DR. RYAN B BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 983-3361
Mailing address
PO BOX 2505, SALEM, OR 97308-2505
(888) 828-3197
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2004-0067
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14924
PRESBY- TERIAN
—
01
—
2358
LOVELACE
—
05
—
65627512
—
NM
01
—
85-0236178-018
MOLINA HEALTHCARE (CIMARR
—
01
—
85-0236178-029
MOLINA HEALTHCARE SALUD
—
01
—
APPROVED
BCBS
NM
Enumeration date
05/27/2006
Last updated
10/05/2007
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