Individual
MARSHALL G BACA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
702 N 13TH ST, ARTESIA, NM 88210-1199
(575) 748-3333
Mailing address
704 W MONTERREY, ARTESIA, NM 88210-2758
(520) 370-8310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A-1877-15
NM
207P00000X
Emergency Medicine Physician
Q8422
TX
Other
Enumeration date
03/26/2013
Last updated
11/08/2024
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