Individual
ROBERT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
72057 HIGHWAY 111, RANCHO MIRAGE, CA 92270-4927
(760) 346-7191
(760) 346-7905
Mailing address
72057 HIGHWAY 111, RANCHO MIRAGE, CA 92270-4927
(760) 346-7191
(760) 346-7905
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16997
CA
Other
Enumeration date
04/11/2006
Last updated
09/25/2014
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