Individual
JOAN BAUMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 S SAINT FRANCIS DR, N1350, SANTA FE, NM 87505-4173
(505) 827-0011
(505) 827-0013
Mailing address
1190 S SAINT FRANCIS DR, N1350, SANTA FE, NM 87505-4173
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
96-191
NM
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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