Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY K BACA, M.D.
Active Sole ProprietorDR. GREGORY K BACA, M.D. is a Psychiatry & Neurology healthcare provider located in LOS ALAMOS, New Mexico. NPI 1922171123 is currently active in the NPPES registry. Verify at CMS.
Psychiatry & Neurology · LOS ALAMOS, NM
Registration Details
- NPI Number
- 1922171123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (19.752932064705 yrs)
- Last Updated
- Jan 31, 2014
- License
-
MD2008-0553 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
464 CENTRAL AVESUITE 4LOS ALAMOS, NM, 875443350Browse NM providers · Browse ZIP 87544
- Phone
- 5057955217
- Fax
- 5057479696
- Primary Specialty
-
Psychiatry & Neurology
2084P0802X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.