Individual provider · Type 1 NPI

Andrewe Baca, MD

Student in an Organized Health Care Education/Training Program · Glendale, AZ

NPI number 1972109742 Active

Practice location

18701 N 67th Ave
Glendale, AZ 85308-7100

Call (623) 561-1000 Map

Mailing address

12 Calle Cristoval
Santa Fe, NM 87507-3716

Other practice locations

  • 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 · (623) 882-1500
  • 1930 E Thomas Rd, Phoenix, AZ 85016-7711 · (602) 532-1000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

130 other providers at this address

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About NPI 1972109742

Andrewe Baca, MD's National Provider Identifier is 1972109742, issued on Dec 8, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, AZ. The record was last updated on Mar 27, 2026.