Organization
GORDON BAKER MD INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON P BAKER MD (DOCTOR)
(206) 243-9004
Entity
Organization
Contact information
Practice address
14203 AMBAUM BLVD SW, BURIEN, WA 98166-1421
(206) 243-9004
(206) 433-1038
Mailing address
14203 AMBAUM BLVD SW, BURIEN, WA 98166-1421
(206) 243-9004
(206) 433-1038
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MD00008587
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043504
—
WA
Enumeration date
02/02/2010
Last updated
02/02/2010
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