Individual
MR. STEPHEN W BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 GAUSE BLVD, SUITE 230, SLIDEL, LA 70458
(985) 641-7577
(985) 643-0826
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
321454
LA
207RC0000X
Cardiovascular Disease Physician
321454
LA
207RX0202X
Medical Oncology Physician
321454
LA
208D00000X
General Practice Physician
12640
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012038
—
MS
01
—
12640
STATE LICENSE
MS
Enumeration date
09/08/2006
Last updated
05/03/2023
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