Individual
JUSTIN NATHANIEL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C194889
CA
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
40974
TN
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
C194889
CA
2080P0207X
Pediatric Hematology & Oncology Physician
40974
TN
2080P0207X
Pediatric Hematology & Oncology Physician
C194889
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441700
—
TN
Enumeration date
05/24/2007
Last updated
04/27/2024
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