Individual
BRIAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4200 S DOUGLAS AVE, SUITE 306, OKLAHOMA CITY, OK 73109-3223
(405) 636-7195
Mailing address
4200 S DOUGLAS AVE, SUITE 306, OKLAHOMA CITY, OK 73109-3223
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0173R
OK
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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