Individual
MR. JASON LEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
220 FALCON PKWY, SCHRIEVER AFB, CO 80912-5005
(719) 567-5536
(719) 567-5115
Mailing address
220 FALCON PKWY, SCHRIEVER AFB, CO 80912-5005
(937) 581-6529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1086035
—
Other
Enumeration date
11/24/2008
Last updated
05/25/2021
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