Individual provider · Type 1 NPI

Jerome Wayne Baca, PA-C

Medical Physician Assistant · Albuquerque, NM

NPI number 1811243462 Active

Practice location

6701 Jefferson St NE
Albuquerque, NM 87109

Call (505) 727-6200 Map

Fax (505) 727-9590

Other practice locations

  • 610 Broadway Blvd NE, Albuquerque, NM 87102-2372 · (505) 242-3991
  • 610 Broadway Blvd NE, Albuquerque, NM 87102-2372 · (505) 242-3991

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2012-0025 (NM)

Medical Physician Assistant: Definition to come...

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About NPI 1811243462

Jerome Wayne Baca, PA-C's National Provider Identifier is 1811243462, issued on Aug 1, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Albuquerque, NM. The record was last updated on Nov 7, 2019.