Individual
CODY ALLEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(314) 556-2300
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(314) 556-2300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2021025414
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
08/05/2022
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