# JUSTIN NATHANIEL BAKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750592580
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | C194889 | CA | — |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | 40974 | TN | — |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | C194889 | CA | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | 40974 | TN | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | C194889 | CA | — |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 04/27/2024