Individual
CHRISTOPHER L BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1112 ENTERPRISE DRIVE, LOGAN, WV 25601
(304) 896-6871
Mailing address
1112 ENTERPRISE DRIVE, LOGAN, WV 25601
(304) 896-6871
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
20-933
WV
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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