Individual
DR. DUSTIN R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7530 NW 23RD ST, BETHANY, OK 73008-4921
(405) 470-6510
(405) 470-6520
Mailing address
7530 NW 23RD ST, BETHANY, OK 73008-4921
(405) 470-6510
(405) 470-6520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23973
OK
Other
Enumeration date
06/05/2006
Last updated
07/30/2015
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