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Individual
STEPHEN BRADLEY BAKER
Active
Individual
STEPHEN BRADLEY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
33081
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240007299
MEDICARE RAIL ROAD
DC
Enumeration date
07/13/2005
Last updated
02/24/2012
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