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Individual

MR. RICHARD LEE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2850 OCOEE ST N, BRADLEY FAMILY FOOT CARE STE 1, CLEVELAND, TN 37312-5385
(423) 559-1555
(423) 559-2455
Mailing address
760 MOUNT ZION RD NW, GEORGETOWN, TN 37336-4547
(423) 473-9180

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM543
TN

Other

Enumeration date
12/05/2005
Last updated
10/13/2011
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