Individual
MATTHEW T BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 S 1000 E STE 350, PAYSON, UT 84651-5594
(801) 465-5602
(801) 465-4480
Mailing address
3550 N UNIVERSITY AVE, STE 250, PROVO, UT 84604-6695
(801) 374-9625
(801) 374-9690
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2779781205
UT
208600000X
Surgery Physician
46844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34534000
—
WI
Enumeration date
06/15/2005
Last updated
03/13/2026
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