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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