Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallace Bakers Mid-Level Group

Organization Medical Physician Assistant · NPI 1639370810

Wallace Bakers Mid-Level Group is a Medical Physician Assistant in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

1880 John Adams Pkwy
Idaho Falls, ID 83401-4315
Phone: (208) 524-6633
Fax: (208) 524-9952
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence M6919 (ID)

Record details

NPI number1639370810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wallace Baker — Ceo · (208) 524-6633
NPI enumeratedMay 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1880 John Adams Pkwy, Idaho Falls, ID 83401-4315

Other providers in Idaho Falls