NPI 1366432775 · live from the CMS NPI Registry
George Clifford Baacke, MD
Family Medicine in Shiprock, NM. National Provider Identifier 1366432775, active.
NPI record
| NPI | 1366432775 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | Us Hwy 491 North, Shiprock, NM 87420 |
| Practice phone | 505-368-6001 |
| Mailing address | Po Box 160, Shiprock, NM 87420 |
| Enumerated | October 26, 2005 |
| Last updated | May 3, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 026500E (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.