Individual
RONALD J BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
507 HARLEY ST, SCOTTSBORO, AL 35768-4218
(256) 259-0061
(256) 259-0668
Mailing address
507 HARLEY ST, SCOTTSBORO, AL 35768-4218
(256) 259-0061
(256) 259-0668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105972
AL
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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