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Organization

ROBERT BAKER MD MHA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT BAKER (OWNER, MD)
(859) 552-5458
Entity
Organization

Contact information

Practice address
2865 N DORCHESTER DR, FAYETTEVILLE, AR 72703-3989
(859) 552-5458
Mailing address
2865 N DORCHESTER DR, FAYETTEVILLE, AR 72703-3989

Taxonomy

Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E13492
LICENSE
AR
Enumeration date
02/02/2021
Last updated
02/02/2021
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