GREGORY K BACA

LOS ALAMOS, NM
NPI1922171123
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0802X Psychiatry & Neurology, Addiction Psychiatry
(Licence: NM  MD2008-0553)
Enumeration Date2006-11-16
Last Update Date2014-01-31
Business Address
Dr. GREGORY K BACA M.D.
464 CENTRAL AVE SUITE 4
LOS ALAMOS, NM 87544-3350
Phone number: 505-795-5217
Mailing Address
Dr. GREGORY K BACA M.D.
112 GRAND CANYON DR
LOS ALAMOS, NM 87544-3423
Phone number:
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