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Johnny Baca
NPI 1760788939 · on the registry since 2011
Practice
- Address
- 220 W 2nd St
Portales, NM 88130 - Phone
- (575) 356-2222
- Fax
- (575) 356-2224
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2011-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico