Individual
MR. SAMUEL SUMPTER BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 SPANOS COURT, SUITE 230, MODESTO, CA 95355-2816
(209) 521-9661
(209) 521-9307
Mailing address
1401 SPANOS COURT, SUITE 230, MODESTO, CA 95355-7813
(209) 521-9661
(209) 521-9307
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G36900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902828841
—
CA
Enumeration date
12/05/2005
Last updated
02/08/2010
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