Individual
DOUGLAS VANCE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1022 E CHERRY ST, CUSHING, OK 74023-4102
(918) 225-2200
(918) 225-2201
Mailing address
2513 E 5TH ST, CUSHING, OK 74023-6409
(918) 225-5711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10498
OK
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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