Individual
DR. EDMOND LOWE BAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3306 W ROOSEVELT ST, PHOENIX, AZ 85009-3404
(602) 889-9401
(602) 889-9404
Mailing address
3306 W ROOSEVELT ST, PHOENIX, AZ 85009-3404
(602) 889-9401
(602) 889-9404
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
37240
AZ
207V00000X
Obstetrics & Gynecology Physician
Primary
37240
AZ
207V00000X
Obstetrics & Gynecology Physician
81650
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238838
MASSACHUSETTS LICENSE
MA
01
—
37240
ARIZONA LICENSE
AZ
05
—
467843
—
AZ
Enumeration date
04/22/2008
Last updated
03/23/2022
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