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Individual

MATILDA BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
181 W MEADOW DR, VAIL, CO 81657-5242
(970) 476-1100
Mailing address
PO BOX 3538, VAIL, CO 81658-3538
(571) 438-5885

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
02/11/2019
Last updated
12/08/2021
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