Individual
JOSHUA RYAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(801) 875-8173
Mailing address
4424 S 174TH EAST AVE, TULSA, OK 74134-7169
(801) 875-8173
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6941
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
03/25/2019
Last updated
07/19/2023
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