Individual
DR. JOSHUA CHARLES BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5865 W UTOPIA RD, GLENDALE, AZ 85308-5251
(623) 572-3941
Mailing address
5865 W UTOPIA RD, GLENDALE, AZ 85308-5251
(623) 572-3941
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1893
AZ
152W00000X
Optometrist
2481
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#OPT - 2481
OPTOMETRY LICENSE
CO
Enumeration date
03/15/2006
Last updated
08/04/2015
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