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DR. GARY HUNGERFORD BAKER M D

Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1275635278

Individual Registrant:
DR. GARY HUNGERFORD BAKER M D
Gender: M
Sole Proprietor

Location and contact information for practice:
3300 RENNER DR  FORTUNA, CA 95540-3120 US
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

Registration Information:
NPI: 1275635278
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2085R0202XAllopathic & Osteopathic Physicians
Radiology
Diagnostic Radiology
CAA22964

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00A229640CA05




HEALTH CARE JOBS CA - Page 1



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