Individual
BRUCE K. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1408 3RD ST SE STE 200, PUYALLUP, WA 98372
(253) 268-3345
(253) 881-1490
Mailing address
1408 3RD ST SE STE 200, PUYALLUP, WA 98372-3702
(253) 268-3345
(253) 881-1490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OP00001533
WA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
89983087
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0391445
DEPARTMENT OF LABOR INDUSTRIES
WA
Enumeration date
09/01/2006
Last updated
08/15/2018
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