Organization
CARING PHYSICIAN'S MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD ANTHONY BAKER MD (OWNER)
(208) 762-5577
Entity
Organization
Contact information
Practice address
8827 N GOVERNMENT WAY UNIT 2, HAYDEN, ID 83835-8231
(208) 762-5577
(208) 762-5520
Mailing address
8827 N GOVERNMENT WAY UNIT 2, HAYDEN, ID 83835-8231
(208) 762-5577
(208) 762-5520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6692
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010151310
REGENCE
ID
05
—
003594300
—
ID
01
—
PIN B5688 GR 8M925
BLUE CROSS
ID
Enumeration date
12/12/2006
Last updated
03/16/2010
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