Individual
MR. FREDERICK ALDEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 587-6336
Mailing address
127 S 500 E, SALT LAKE CITY, UT 84102-1959
(801) 587-6336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9517333-8906
UT
Other
Enumeration date
09/02/2015
Last updated
10/31/2023
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