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Individual

GEORGE M BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
97 PROFESSIONAL WAY, SUITE 2, PAYSON, UT 84651-1614
(801) 465-4896
(801) 465-4107
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
267162-1206
UT

Other

Enumeration date
07/17/2006
Last updated
05/02/2012
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