Individual
DR. JOHN VINCENT BAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
#5 MEDICAL PARK DRIVE SUITE 308, BENTON, AR 72015-2908
(501) 778-1000
(501) 778-1010
Mailing address
PO BOX 604, BENTON, AR 72018-0604
(501) 778-1000
(501) 778-1010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E0792
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129634001
—
AR
01
—
5K157
BCBS
AR
Enumeration date
07/18/2006
Last updated
05/07/2026
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