Individual
DR. NICOLE E BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1501 PROFESSIONAL DR, IMPERIAL, MO 63052-3809
(636) 547-7300
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 483-3791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007003891
MO
Other
Enumeration date
05/24/2007
Last updated
09/22/2025
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