Individual
MARK D BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9587
(205) 975-4623
Mailing address
1600 7TH AVE S # CPPI110, BIRMINGHAM, AL 35233-1711
(205) 638-9587
(205) 975-4623
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.26612
AL
208000000X
Pediatrics Physician
MD.26612
AL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD.26612
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043
—
AL
01
—
515-29289
BCBS
AL
01
—
515-42219
BCBS
AL
Enumeration date
10/03/2005
Last updated
04/03/2019
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