Misty Baker the Foot Doctor, PC

NPI #1902199110 in Longview, Texas

Provider Information

NPI Number: 1902199110
Entity Type: Organization
Organization Name: Misty Baker the Foot Doctor, PC
Primary Specialty: Podiatrist
Enumeration Date: May 20, 2011
Last Updated: May 20, 2011

Practice Location

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

Authorized Official

Name: DR. MISTY D BAKER, DPM
Title: OWNER
Phone: (903) 753-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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