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Individual

DR. ROBERT K BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
932 SPRING CREEK RD, CHATTANOOGA, TN 37412-3910
(423) 894-1453
(423) 899-8022
Mailing address
932 SPRING CREEK RD, CHATTANOOGA, TN 37412-3910
(423) 894-1453
(423) 899-8022

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
042-0010602
VT
207W00000X
Ophthalmology Physician
228400-1
NY
207W00000X
Ophthalmology Physician
Primary
41220
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02405498
NY
05
1009739
VT
05
3814608
TN
01
4125520
BCBSTN
TN
01
P00321873
RAILROAD MEDICARE
TN
Enumeration date
12/23/2005
Last updated
11/08/2007
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