Wallace C Baker
NPI #1134140148 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1134140148
- Entity Type
- Organization
- Organization Name
- Wallace C Baker
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Jul 19, 2010
Practice Location
- Address
- 1880 JOHN ADAMS PKWY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4315
- Phone
- (208) 524-6633
Authorized Official
- Name
- DR. WALLACE C. BAKER, M.D.
- Title
- DOCTOR
- Phone
- (208) 524-6633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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