Wallace C Baker
Wallace C Baker is a Family Medicine Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
1880 John Adams PkwyIdaho Falls, ID 83401-4315
Phone: (208) 524-6633
Fax: (208) 524-9952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence M6919 (ID) |
|---|
Record details
| NPI number | 1134140148 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wallace Baker — Doctor · (208) 524-6633 |
| Other names | Baker Family Practice |
| NPI enumerated | July 22, 2006 |
| Last updated in NPPES | July 19, 2010 |
| Mailing address | 1880 John Adams Pkwy, Idaho Falls, ID 83401-4315 |
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