Dr RANDOLPH PHILLIP BACA is a male medical professional, specializing in Psychiatry. He graduated in 2007 from University Of New Mexico School Of Medicine.
6666 4TH ST NW
LOS RANCHOS
NM
871076144
Tel:
| Npi | 1790982643 |
| Pac Id | 9931335320 |
| Professional Enrollment Id | I20131114000150 |
| Last Name | BACA |
| First Name | RANDOLPH |
| Middle Name | PHILLIP |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PSYCHIATRY |
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| Line 1 Street Address | 6666 4TH ST NW |
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| City | LOS RANCHOS |
| State | NM |
| Zip Code | 871076144 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 320009 |
| Hospital Affiliation Lbn 1 | LOVELACE MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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