Individual
JOHN A BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 NASON DR, SUITE 104, ROARING SPRING, PA 16673-1212
(814) 224-6096
(814) 224-6095
Mailing address
111 NASON DR, SUITE 104, ROARING SPRING, PA 16673-1212
(814) 224-6096
(814) 224-6095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0SD12992
PA
Other
Enumeration date
08/09/2006
Last updated
04/10/2013
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