# BAKER MEDICAL GROUP

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

## Provider details

- **NPI number:** 1972707875
- **Authorized official:** DR. CARL NED BAKER M.D. (PHYSICIAN)
- **Authorized official phone:** (314) 918-9111

## Contact information

- **Practice address:** 8969 WATSON RD, SAINT LOUIS, MO 63119-5115
- **Practice address phone:** (314) 918-9111
- **Practice address fax:** (314) 918-9113
- **Mailing address:** 8969 WATSON RD, SAINT LOUIS, MO 63119-5115
- **Mailing address phone:** (314) 918-9111
- **Mailing address fax:** (314) 918-9113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R2A08 | MO | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 04/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000014808 | — | MO |
