Individual
REECE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1134 N 500 W, PROVO, UT 84604-3383
(801) 357-7850
Mailing address
933 E 1910 S, PROVO, UT 84606-5561
(801) 362-4119
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10167220-1205
UT
207P00000X
Emergency Medicine Physician
4301105214
MI
Other
Enumeration date
06/17/2014
Last updated
07/21/2022
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