Individual
DR. GARY HUNGERFORD BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
3300 RENNER DR, FORTUNA, CA 95540-3120
(707) 725-3361
Mailing address
PO BOX 6640, EUREKA, CA 95502-6640
(707) 445-5431
(707) 445-3710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A22964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A229640
—
CA
Enumeration date
09/01/2006
Last updated
01/10/2008
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