Individual
CHARITY DARA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
705 ELM ST E, ROCKWELL, IA 50469-1035
(641) 372-0315
(641) 372-0304
Mailing address
705 ELM ST E, ROCKWELL, IA 50469-1035
(641) 372-0315
(641) 372-0304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02003107A
IN
207Q00000X
Family Medicine Physician
02003107A
IN
207Q00000X
Family Medicine Physician
Primary
4009
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200889330
—
IN
Enumeration date
04/18/2007
Last updated
01/10/2019
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