Individual
HALLIE J BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1331 W 32ND ST, JOPLIN, MO 64804
(417) 347-6767
(417) 347-6769
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-6767
(417) 347-6769
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2019009692
MO
207Y00000X
Otolaryngology Physician
633601
MN
Other
Enumeration date
07/23/2013
Last updated
08/20/2019
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