Individual
DR. SHAWN MARK BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 UNSER BLVD, RIO RANCHO, NM 87124
(505) 253-6100
Mailing address
2400 UNSER BLVD, RIO RANCHO, NM 87124
(505) 253-6100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD2006-0659
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2006-0659
NM STATE LICENSE
NM
Enumeration date
08/16/2006
Last updated
01/31/2013
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