Individual
MR. JEFFREY B BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
187 E. 13TH ST., IDAHO FALLS, ID 83404
(208) 497-0500
(208) 497-0198
Mailing address
187 E. 13TH ST., IDAHO FALLS, ID 83404
(208) 497-0500
(208) 497-0505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5835
ID
207V00000X
Obstetrics & Gynecology Physician
Primary
M5835
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035860000
—
ID
Enumeration date
11/08/2006
Last updated
04/16/2026
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