Individual
GARY LYNN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 N GILBERT ST, BLDG B # B, HEMET, CA 92543-4066
(951) 929-6260
(951) 765-2855
Mailing address
PO BOX 788, HEMET, CA 92546-0788
(951) 929-6260
(951) 765-2855
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G52700
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G527000
—
CA
Enumeration date
08/10/2006
Last updated
07/08/2007
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