| NPI | 1740247386 |
|---|---|
| Former Legal Business Name | JUDY BAACK MD PROF LLC |
| Entity Type | Organization |
| Authorized Contact | HEIDI JO OSTER Owner 303-791-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2013-09-24 |