Individual
ELLIE ANNE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
158 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-2830
(479) 222-0983
(361) 585-4765
Mailing address
158 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-2830
(479) 222-0983
(361) 585-4765
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
PT2024-014
AR
Other
Enumeration date
02/12/2024
Last updated
06/10/2024
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