Individual
BENJAMIN MICHAEL GEORGE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 ATWOOD ST, PITTSBURGH, PA 15260
(814) 547-8104
Mailing address
429 ATWOOD ST, PITTSBURGH, PA 15213-4132
(814) 547-8104
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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