Individual
DR. JOHN ROBERT BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 VIRGINIA DR, BATESVILLE, AR 72501-7329
(870) 793-5356
(870) 793-7017
Mailing address
409 VIRGINIA DR, BATESVILLE, AR 72501-7329
(870) 793-5356
(870) 793-7017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-5033
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102554001
—
AR
01
—
C-5033
LISCENSE
AR
Enumeration date
06/27/2006
Last updated
11/18/2009
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