Individual
MARK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7600 KINGSTON PIKE STE 1110-A, KNOXVILLE, TN 37919-5603
(865) 531-3295
(865) 531-8937
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1285
TN
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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