NPI Profile for RONNIE J BACA in SILVER CITY, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
163WC0200X |
| NPI # | 1427833094 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/30/2023 | |
| Last updated | 08/30/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RONNIE J BACA
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