# DUSTIN BAKER MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629342027
- **Authorized official:** DR. DUSTIN BAKER M.D. (PRESIDENT)
- **Authorized official phone:** (405) 470-6510

## Contact information

- **Practice address:** 6501 NE 50TH ST, OKLAHOMA CITY, OK 73141-9118
- **Practice address phone:** (405) 470-6510
- **Practice address fax:** (405) 470-6520
- **Mailing address:** 3529 NW 174TH ST, EDMOND, OK 73012-6732
- **Mailing address phone:** (405) 470-6510
- **Mailing address fax:** (405) 470-6520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23973 | OK | Yes |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 03/02/2012