Individual
SEAN BLAIR BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7800 DALLAS ST, FORT SMITH, AR 72903-4278
(479) 259-9286
Mailing address
3700 CLIFF DR, FORT SMITH, AR 72903-5954
(479) 259-9286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-5501
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200680D
—
OK
05
—
175021003
—
AR
Enumeration date
06/13/2007
Last updated
10/30/2019
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