Organization
AUDIOLOGY PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY L. BAKER M.D. (M.D)
(606) 788-9304
Entity
Organization
Contact information
Practice address
404 EUCLID AVE, PAINTSVILLE, KY 41240-1167
(606) 788-9304
(606) 788-9367
Mailing address
PO BOX 677, PAINTSVILLE, KY 41240-0677
(606) 788-9304
(606) 788-9367
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33745
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111905
ANTHEM PROVIDER NUMBER
KY
05
—
64373459
—
KY
Enumeration date
02/02/2007
Last updated
03/27/2008
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