Individual
BRET BAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 E ELIZABETH ST, G-2, FORT COLLINS, CO 80524-4044
(970) 484-6303
(970) 484-6908
Mailing address
1120 E ELIZABETH ST, G-2, FORT COLLINS, CO 80524-4044
(970) 484-6303
(970) 484-6908
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
51164
CO
208200000X
Plastic Surgery Physician
90-145
NM
Other
Enumeration date
08/01/2006
Last updated
10/30/2013
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