Individual
ROBERT R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2800 FAYETTEVILLE RD, VAN BUREN, AR 72956-6523
(479) 314-4000
(479) 314-4050
Mailing address
PO BOX 17000, FORT SMITH, AR 72917-7000
(479) 314-4000
(479) 314-4050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4408
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200680D
—
OK
05
—
122045003
—
AR
Enumeration date
10/11/2005
Last updated
04/13/2010
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