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DR. GARY HUNGERFORD BAKER M D
Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1275635278
Individual Registrant:DR. GARY HUNGERFORD BAKER M D
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3300 RENNER DR FORTUNA, CA 95540-3120 US
Tel: 707-725-3361 Fax: --
Tel: 707-725-3361 Fax: --
Contact information for business:
PO BOX 6640 EUREKA, CA 95502-6640 US
Tel: 707-445-5431 Fax: 707-445-3710
Tel: 707-445-5431 Fax: 707-445-3710
Registration Information:
NPI: 1275635278
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2085R0202X | Allopathic & Osteopathic Physicians Radiology Diagnostic Radiology | CA | A22964 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00A229640 | CA | 05 |
