Individual
JAMES NELSON BAKER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4915 E BASELINE RD, GILBERT, GILBERT, AZ 85234-2965
(480) 626-6600
(480) 626-6604
Mailing address
4915 E BASELINE RD, GILBERT, GILBERT, AZ 85234-2965
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6409
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6409
ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS
AZ
01
—
PA0004431
STATE LICENSE
CO
Enumeration date
11/10/2015
Last updated
11/10/2015
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