Individual
BRIDGETTE MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8950 W EMERALD ST #195, BOISE, ID 83704
(208) 999-3034
(208) 576-4201
Mailing address
8950 W EMERALD ST #195, BOISE, ID 83704
(208) 999-3034
(208) 576-4201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-10880
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808082500
—
ID
Enumeration date
06/20/2008
Last updated
09/20/2024
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