Individual
TODD F BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 NORTH MAIN, HARRISON, AR 72601-2926
(870) 365-2000
(318) 212-7505
Mailing address
PO BOX 32600, SHREVEPORT, LA 71130-2600
(318) 212-4877
(318) 212-4192
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15526R
LA
207P00000X
Emergency Medicine Physician
Primary
E-3581
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465160
—
LA
05
—
190608001
—
AR
01
—
5H828
AR BLUE CROSS
—
Enumeration date
01/03/2006
Last updated
05/14/2013
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