Individual
ROBERT DALE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MILITARY PROVIDER
Contact information
Practice address
2603 LOWER GAINESVILLE RD, STENNIS SPACE CENTER, MS 39529-0001
(228) 813-4000
(228) 813-4021
Mailing address
2603 LOWER GAINESVILLE RD, STENNIS SPACE CENTER, MS 39529-0001
(228) 813-4000
(228) 813-4021
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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