Individual
DROSTAN GREGG BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2207 N MOLTER RD STE 203, LIBERTY LAKE, WA 99019
(509) 565-8803
(509) 842-3057
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M13734
ID
207Q00000X
Family Medicine Physician
Primary
MD60250792
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
RESIDENT
WA
Enumeration date
06/19/2009
Last updated
08/20/2019
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