Individual
RYAN DOUGLAS BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2024027910
MO
207L00000X
Anesthesiology Physician
6083
OK
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STUDENT
STUDENT
—
Enumeration date
04/10/2012
Last updated
01/16/2025
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