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Individual

JOSHUA DAVID BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3104 BLUE LAKE DR STE 110, VESTAVIA, AL 35243-2372
(205) 977-1949
Mailing address
617 NORTHMOOR LN, BIRMINGHAM, AL 35209-6421
(770) 842-7829

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
02/27/2020
Last updated
02/27/2020
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