Individual
JAY SCOTT BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 FOXCLIFF CT, BALLWIN, MO 63011-4233
(636) 394-9353
(636) 394-9353
Mailing address
8 FOXCLIFF CT, BALLWIN, MO 63011-4233
(636) 394-9353
(636) 394-9353
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R4541
MO
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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