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Individual
JOE BLUNT BAKER IV
Active
Individual
JOE BLUNT BAKER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
036.140204
IL
2085P0229X
Pediatric Radiology Physician
R1929
TX
2085R0202X
Diagnostic Radiology Physician
R1929
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036.140204
IL
Other
Enumeration date
03/19/2010
Last updated
09/16/2021
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