Individual
DR. GLENN A BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14701 E EXPOSITION AVE, AURORA, CO 80012-2623
(303) 338-4545
Mailing address
14701 E EXPOSITION AVE, AURORA, CO 80012-2623
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43846
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016544
KPN
CO
05
—
85755761
—
CO
Enumeration date
03/07/2007
Last updated
09/12/2012
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