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Organization
WEST FORK FAMILY MEDICINE PC
Active
Organization
WEST FORK FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BAKER DO (PRESIDENT)
(641) 372-0315
Entity
Organization
Contact information
Practice address
705 ELM ST E, ROCKWELL, IA 50469-1035
(641) 372-0315
Mailing address
705 ELM ST E, ROCKWELL, IA 50469-1035
(641) 372-0315
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/15/2009
Last updated
12/16/2009
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