Organization
BAKER MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL NED BAKER M.D. (PHYSICIAN)
(314) 918-9111
Entity
Organization
Contact information
Practice address
8969 WATSON RD, SAINT LOUIS, MO 63119-5115
(314) 918-9111
(314) 918-9113
Mailing address
8969 WATSON RD, SAINT LOUIS, MO 63119-5115
(314) 918-9111
(314) 918-9113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2A08
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000014808
—
MO
Enumeration date
06/13/2007
Last updated
04/17/2008
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