Individual
DR. JAMES MARK BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
(405) 271-8695
Mailing address
PO BOX 272375, OKLAHOMA CITY, OK 73137-2375
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16176
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050011663
RR MEDICARE
—
05
—
100090400A
—
OK
01
—
141574400
DOL
—
01
—
4350587
AETNA
—
Enumeration date
08/30/2005
Last updated
04/30/2018
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