Individual
SAMUEL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 KINGSVILLE CT, SAINT LOUIS, MO 63119-2433
(314) 775-9446
Mailing address
216 KINGSVILLE CT, SAINT LOUIS, MO 63119-2433
(314) 775-9446
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MO
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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