Individual
MRS. JANICE KAYE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3705 UTICA RIDGE RD, BETTENDORF, IA 52722-1655
(563) 324-8160
(563) 324-8486
Mailing address
PO BOX 2441, DAVENPORT, IA 52809-2441
(563) 324-8160
(563) 324-8486
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02219
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043323
—
IA
Enumeration date
12/15/2005
Last updated
07/13/2010
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