Dr Misty D Baker

NPI #1306063169 in Longview, Texas

Provider Information

NPI Number: 1306063169
Entity Type: Organization
Organization Name: Dr Misty D Baker
Primary Specialty: Podiatrist
Enumeration Date: Apr 20, 2007
Last Updated: Dec 2, 2009

Practice Location

Address: 2840 BILL OWENS PKWY
Address 2: SUITE A
City: Longview
State: Texas
ZIP Code: 75605-2150
Phone: (903) 753-3668

Authorized Official

Name: DR. MISTY D BAKER, D.P.M.
Title: PODIATRIST
Phone: (903) 753-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Podiatrist	213E00000X	Primary

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