Organization
WILLIAM JOSEPH BAKER MD PLLC
Active
Organization
WILLIAM JOSEPH BAKER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAINA SUE BAKER RN (PRACTICE MANAGER)
(580) 272-9162
Entity
Organization
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 332-2323
Mailing address
PO BOX 1884, ADA, OK 74821-1884
(580) 272-9162
(580) 272-9162
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19914
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050084626
RAILROAD MEDICARE
OK
05
—
100106440B
—
OK
01
—
443545529002
BLUE CROSS BLUE SHIELD
OK
Enumeration date
03/06/2007
Last updated
06/18/2008
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