Individual
MR. RICHARD CORNELIUS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, LAT, ATC
Contact information
Practice address
420 STADIUM DR, WAKE FOREST, NC 27587-2520
(919) 554-8611
(919) 554-8617
Mailing address
2304 VERDANT CT., WAKE FOREST, NC 27587
(919) 266-0912
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0819
NC
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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