David R Baker

NPI #1790903003 in Logan, Utah

Provider Information

NPI Number
1790903003
Entity Type
Organization
Organization Name
David R Baker
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
55 E 100 N
Address 2
SUITE 305
City
Logan
State
Utah
ZIP Code
84321-4661
Phone
(435) 512-8151

Authorized Official

Name
DAVID R BAKER
Title
OWNER
Phone
(435) 512-8151

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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