Organization
MICHAEL L BAKER DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEO BAKER D.O. (PRESIDENT AND CEO)
(662) 746-8777
Entity
Organization
Contact information
Practice address
129 S MAIN ST, YAZOO CITY, MS 39194-4007
(662) 746-8777
Mailing address
129 S. MAIN STREET, YAZOO CITY, MS 39194
(662) 746-8777
(662) 746-8778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15475
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016054
—
MS
Enumeration date
03/18/2008
Last updated
11/12/2008
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