Dr JEROME WAYNE BACA is a male medical professional, specializing in Physician Assistant. He graduated in 2012.
SOUTHWEST MEDICAL ASSOCIATES INC
4701 MONTGOMERY BLVD NE
ALBUQUERQUE
NM
871091219
Tel:
| Npi | 1811243462 |
| Pac Id | 7618124272 |
| Professional Enrollment Id | I20120904000612 |
| Last Name | BACA |
| First Name | JEROME |
| Middle Name | WAYNE |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTHWEST MEDICAL ASSOCIATES INC |
| Group Practice Pac Id | 7214831114 |
| Number Of Group Practice Members | 227 |
| Line 1 Street Address | 4701 MONTGOMERY BLVD NE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 871091219 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 320017 |
| Hospital Affiliation Lbn 1 | LOVELACE WOMEN'S HOSPITAL |
| Hospital Affiliation Ccn 2 | 320009 |
| Hospital Affiliation Lbn 2 | LOVELACE MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 320074 |
| Hospital Affiliation Lbn 3 | LOVELACE WESTSIDE HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.