Doctor Name: | ROBERT BAKER |
NPI Number: | 1356337042 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PAC |
License Number: | 001097 |
Business Practice Address: | 1314 S Stuart St Sigourney, IA - 525911154 |
Business Phone Number: | 6416223840 |
Business Fax Number: | 6416223529 |
Mailing Address: | 1314 S Stuart St, SIGOURNEY |
State: | IA |
Postal Code: | 525911154 |
Phone Number: | 6416223840 |
Fax Number: | 6416223529 |
NPI Enumeration Date: | 09/27/2005 |
NPI Last Update Date: | 04/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 001097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |