WALLACE C BAKER

NPI # 

Practice Address:

1880 John Adams Pkwy

Idaho Falls, ID, 83401-4315

Practice Phone:

208-524-6633

Practice Fax:

208-524-9952

License Number:

M6919

License State:

ID

Taxonomy Grouping:

Allopathic & Osteopathic Physicians

Taxonomy Classification:

Family Medicine

Taxonomy Code:

207Q00000X

Updated by NPPES on 7/19/2010. You can view the original data set for NPI # 1134140148 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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WALLACE C BAKER's

CMS CPT® coding data

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WALLACE C BAKER's

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