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Individual

DR. JOHN R BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
300 MEDICAL PKWY STE 212, CHESAPEAKE, VA 23320-4985
(757) 312-5292
(757) 609-3225
Mailing address
PO BOX 11314, BELFAST, ME 04915-4004
(757) 842-4481
(757) 312-3135

Taxonomy

Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
0101249463
VA
2084V0102X
Vascular Neurology Physician
MD424173
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010588770001
PA
Enumeration date
12/06/2005
Last updated
11/20/2020
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