Organization
BAKER FORE BUSINESS ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BAKER FORE D.O. (PRESIDENT)
(580) 223-4800
Entity
Organization
Contact information
Practice address
1005 15TH AVE NW, ARDMORE, OK 73401-1810
(580) 223-4800
(580) 223-4801
Mailing address
1005 15TH AVE NW, ARDMORE, OK 73401-1810
(580) 223-4800
(580) 223-4801
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
2273
OK
208VP0000X
Pain Medicine Physician
Primary
2273
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19922063510
NPI
OK
Enumeration date
09/29/2010
Last updated
09/29/2010
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