Individual
JOHN C. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 E CAMBRIDGE AVE STE 304, PHOENIX, AZ 85006
(602) 933-4363
(602) 933-2415
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
56346
AZ
207SG0201X
Clinical Genetics (M.D.) Physician
G77284
CA
208000000X
Pediatrics Physician
56346
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G772840
—
CA
Enumeration date
11/01/2006
Last updated
07/31/2018
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