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Individual

DR. WILLIAM JOHN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 213, ABINGDON, VA 24211-7664
(276) 258-2600
(276) 258-2611
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 213, ABINGDON, VA 24211-7664
(276) 258-2600
(276) 258-2611

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101051200
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124196787
VA
01
P00923464
RAILROAD MEDICARE
VA
05
Q006227
TN
Enumeration date
12/01/2006
Last updated
01/26/2017
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