Individual
MAX BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO MSC6116025, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 272-6503
Mailing address
PRISMA HEALTH CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, SUITE 400, COLUMBIA, SC 29203
(803) 434-6155
(803) 434-6979
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LL86134
SC
208000000X
Pediatrics Physician
MD2024-0479
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2021
Last updated
06/13/2025
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