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Organization

BAKER FORE BUSINESS ASSOCIATES, INC

Active
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Organization

BAKER FORE BUSINESS ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN BAKER FORE D.O. (PRESIDENT)
(580) 223-4800
Entity
Organization

Contact information

Practice address
1005 15TH AVE NW, ARDMORE, OK 73401-1810
(580) 223-4800
(580) 223-4801
Mailing address
1005 15TH AVE NW, ARDMORE, OK 73401-1810
(580) 223-4800
(580) 223-4801

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
2273
OK
208VP0000X
Pain Medicine Physician
Primary
2273
OK

Other

Enumeration date
09/29/2010
Last updated
09/29/2010
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