Individual
SHANE ARTHUR BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 N MAIN ST, CEDAR CITY, UT 84721
(435) 868-5000
Mailing address
PO BOX 629, OGDEN, UT 84402-0629
(801) 621-6671
(801) 627-6679
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01051615A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
308374-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132910
—
IN
Enumeration date
08/17/2006
Last updated
07/16/2018
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