Organization
TERRY BAKER, M.D.P.A.
Active
Parent organization
TERRY BAKER, MDPA
Organization subpart
Yes
Provider details
NPI number
Legal business name
TERRY BAKER, MDPA
Authorized official
DR. TERRY BAKER M.D. (PHYSICIAN)
(208) 552-9530
Entity
Organization
Contact information
Practice address
3200 CHANNING WAY, STE. A-105, IDAHO FALLS, ID 83404-7546
(208) 552-9530
(208) 522-6262
Mailing address
3200 CHANNING WAY, STE. A-105, IDAHO FALLS, ID 83404-7546
(208) 552-9530
(208) 522-6262
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M-8221
ID
Other
Enumeration date
02/23/2007
Last updated
09/06/2007
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