Individual
JOSHUA PAUL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
705 ELM ST E, ROCKWELL, IA 50469-1035
(641) 372-0315
(641) 372-0304
Mailing address
705 ELM ST E, ROCKWELL, IA 50469-1035
(641) 372-0315
(641) 372-0304
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
3995
IA
207Q00000X
Family Medicine Physician
Primary
3995
IA
208D00000X
General Practice Physician
02003106A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11012682A
RESIDENCY PERMIT
IN
05
—
PENDING
—
IN
Enumeration date
04/18/2007
Last updated
01/10/2019
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