Individual
DR. CARL WILLIAM BAKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17205
MS
Other
Enumeration date
10/04/2005
Last updated
12/01/2022
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