Individual
THOMAS M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11311 BRIDGEPORT WAY SW, SUITE 304, LAKEWOOD, WA 98499-3078
(253) 983-1977
(253) 983-1976
Mailing address
1624 SOUTH I STREET, SUITE 305, TACOMA, WA 98405-5093
(253) 428-8700
(253) 383-3376
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00019694
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043223
—
WA
Enumeration date
10/12/2006
Last updated
08/01/2012
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