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DR. JOHN ROBERT BAKER M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1457388266
Individual Registrant:DR. JOHN ROBERT BAKER M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
409 VIRGINIA DR BATESVILLE, AR 72501-7329 US
Tel: 870-793-5356 Fax: 870-793-7017
Tel: 870-793-5356 Fax: 870-793-7017
Contact information for business:
409 VIRGINIA DR BATESVILLE, AR 72501-7329 US
Tel: 870-793-5356 Fax: 870-793-7017
Tel: 870-793-5356 Fax: 870-793-7017
Registration Information:
NPI: 1457388266
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | AR | C-5033 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| LISCENSE | C-5033 | AR | 01 |
| 102554001 | AR | 05 |
