Organization
MARSHALL G BACA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL G BACA MD PC (OWNER)
(505) 885-2188
Entity
Organization
Contact information
Practice address
2411 OSBORNE RD, CARLSBAD, NM 88220-3265
(505) 885-2188
(505) 885-6486
Mailing address
2411 OSBORNE RD, CARLSBAD, NM 88220-3265
(505) 885-2188
(505) 885-6486
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
96-5
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H5181
—
NM
Enumeration date
04/13/2007
Last updated
04/20/2008
Update your record
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