| Doctor Name: | LARRY BAKER |
| NPI Number: | 1346228384 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 136 |
| Business Practice Address: | 301 6 Great Teays Blvd Scott Depot, WV - 25560 |
| Business Phone Number: | 3047576999 |
| Business Fax Number: | 3047573252 |
| Mailing Address: | 301 6 Great Teays Blvd, SCOTT DEPOT |
| State: | WV |
| Postal Code: | 25560 |
| Phone Number: | 3047576999 |
| Fax Number: | 3047573252 |
| NPI Enumeration Date: | 01/09/2006 |
| NPI Last Update Date: | 09/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |