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Organization
WALLACE C BAKER
Active
Organization
WALLACE C BAKER
Active
Other names
Baker Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE C. BAKER M.D. (DOCTOR)
(208) 524-6633
Entity
Organization
Contact information
Practice address
1880 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4315
(208) 524-6633
(208) 524-9952
Mailing address
1880 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4315
(208) 524-6633
(208) 524-9952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6919
ID
Other
Enumeration date
07/22/2006
Last updated
07/19/2010
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