Doctor Name: | DR. GARY HUNGERFORD BAKER |
NPI Number: | 1275635278 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M D |
License Number: | A22964 |
Business Practice Address: | 3300 Renner Dr Fortuna, CA - 955403120 |
Business Phone Number: | 7077253361 |
Business Fax Number: | |
Mailing Address: | Po Box 6640, EUREKA |
State: | CA |
Postal Code: | 955026640 |
Phone Number: | 7074455431 |
Fax Number: | 7074453710 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 01/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | A22964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |