Individual
DR. JEFFREY TRAVIS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 AYSHIRE CT, SLIDELL, LA 70461-5034
(985) 645-9420
(985) 649-4063
Mailing address
106 AYSHIRE CT, SLIDELL, LA 70461-5034
(985) 645-9420
(985) 649-4063
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
016154
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1352853
—
LA
Enumeration date
08/15/2006
Last updated
07/08/2007
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