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Organization
MISTY BAKER THE FOOT DOCTOR, PC
Active
Organization
MISTY BAKER THE FOOT DOCTOR, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MISTY D BAKER DPM (OWNER)
(903) 753-3668
Entity
Organization
Contact information
Practice address
2840 BILL OWENS PKWY, STE A, LONGVIEW, TX 75605-2150
(903) 753-3668
(903) 753-3671
Mailing address
2840 BILL OWENS PKWY, STE A, LONGVIEW, TX 75605-2150
(903) 753-3668
(903) 753-3671
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1758
TX
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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