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Individual
MR. STEPHEN WESLEY BAKER
Active
Individual
MR. STEPHEN WESLEY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004489
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0226688
L&I-TRA REST OF WA
WA
01
—
0375582
L&I-UNION AVE OPEN MRI
WA
01
—
0395156
L&I-DIAGNOSTIC IMAGING NW
WA
05
—
1093156
—
WA
Enumeration date
07/12/2006
Last updated
04/25/2024
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