Individual
DR. DAVID M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1470 MEDICAL PKWY, SUITE 160, CARSON CITY, NV 89703-4648
(775) 445-7650
(775) 687-8457
Mailing address
PO BOX 4540, CARSON CITY, NV 89702
(866) 964-3795
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11681
NV
207RC0000X
Cardiovascular Disease Physician
A94733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508136
—
NV
01
—
EN478Z
MEDICARE PTAN FOR CTPC
NV
Enumeration date
05/16/2006
Last updated
03/14/2018
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