Individual
DR. DELWYN RICHARD BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 WAINWRIGHT DRIVE, WALLA WALLA, WA 99362
(509) 525-5200
Mailing address
PO BOX 67, WALLA WALLA, WA 99362-0001
(509) 525-5200
(509) 526-6204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M4249
MEDICAL LICENSE
ID
Enumeration date
10/16/2006
Last updated
07/08/2007
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