Greg Baca Md, LLC
NPI #1457789125 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1457789125
- Entity Type
- Organization
- Organization Name
- Greg Baca Md, LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Oct 16, 2013
- Last Updated
- Oct 16, 2013
Practice Location
- Address
- 464 CENTRAL AVE
- Address 2
- SUITE 4
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-3350
- Phone
- (505) 795-5217
Authorized Official
- Name
- GREGORY K BACA, M.D.
- Title
- OWNER
- Phone
- (505) 795-5217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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