Individual
SHANNON COOKE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2655 W 9000 S, WEST JORDAN, UT 84088-8542
(801) 256-6343
(801) 256-6344
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 256-6343
(801) 256-6344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5691300-1205
UT
207Q00000X
Family Medicine Physician
M7024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187932201
—
TX
05
—
187932202
—
TX
05
—
942854058645
—
UT
01
—
P00662743
RAILROAD MEDICARE
TX
Enumeration date
12/05/2006
Last updated
04/14/2026
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