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Individual

MURRAY LESTER BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4370 W MAIN ST, DOTHAN, AL 36305
(334) 793-5000
(334) 615-8419
Mailing address
PO BOX 6907, DOTHAN, AL 36302
(334) 793-5000
(334) 615-8419

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17920
AL
207P00000X
Emergency Medicine Physician
ME46835
FL
207Q00000X
Family Medicine Physician
046835
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00337367C
GA
05
051515769
AL
05
08375878
MS
05
1736171
LA
05
261019100
FL
05
274144000
FL
01
51515769
BLUE CROSS BLUE SHIELD
AL
01
P00055567
RAILROAD MEDICARE
Enumeration date
02/15/2006
Last updated
06/29/2009
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