Individual
DR. JUSTIN THOMAS BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO # 116025, DEPARTMENT OF EMERGENCY MEDICINE, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2013-0577
NM
Other
Enumeration date
03/29/2009
Last updated
12/30/2024
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