Individual
WILLIAM J BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 332-2323
(580) 421-6100
Mailing address
PO BOX 1884, ADA, OK 74821-1884
(580) 272-9162
(580) 272-9162
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19914
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050084626
RAILROAD MEDICARE
—
05
—
100106440B
—
OK
01
—
74821000
TRICARE
—
Enumeration date
05/01/2006
Last updated
06/06/2008
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