Individual
JOEL LEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
417 S. EAST, CORYDON, IA 50060-1860
(641) 872-2063
(641) 872-2070
Mailing address
P.O. BOX 365, CORYDON, IA 50060-0365
(641) 932-7172
(641) 932-7174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02857
IA
207QA0505X
Adult Medicine Physician
Primary
02857
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2116517
—
IA
Enumeration date
12/15/2005
Last updated
01/08/2019
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