Organization
JOHN W. BAKER, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE JONES (CLINIC MANAGER)
(501) 812-7216
Entity
Organization
Contact information
Practice address
1 LILE CT STE 103, LITTLE ROCK, AR 72205-6239
(501) 221-9175
(501) 221-9672
Mailing address
1 LILE CT STE 103, LITTLE ROCK, AR 72205-6239
(501) 221-9175
(501) 221-9672
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R-4060
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R-4090
LICENSE
AR
Enumeration date
09/29/2009
Last updated
09/29/2009
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