Individual
STACIA C BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3225 I-70 BUSINESS LOOP STE A4, CLIFTON, CO 81520-7687
(970) 434-6542
(970) 434-3327
Mailing address
3225 I-70 BUSINESS LOOP STE A4, CLIFTON, CO 81520-7687
(970) 434-6542
(970) 434-3327
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50560
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87276542
—
CO
Enumeration date
11/09/2006
Last updated
10/19/2015
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