Individual
BERT MANFRED BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Mailing address
4141 S STAPLES ST, STE 300, CORPUS CHRISTI, TX 78411-0002
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA02190
TX
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
05/18/2021
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