WALLACE BAKER, M.D.

Family Medicine

Active Individual
NPI: 1083696967

Practice Address

1880 JOHN ADAMS PKWY
Idaho Falls, ID 83401

Phone: (208) 524-6633

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes M2619 (ID)

Frequently Asked Questions

NPI 1083696967 is the National Provider Identifier for WALLACE BAKER, M.D., a Family Medicine provider located in Idaho Falls, ID. This NPI was enumerated on November 16, 2005.
WALLACE BAKER, M.D. practices at 1880 JOHN ADAMS PKWY, Idaho Falls, ID 83401.

Quick Facts

NPI
1083696967
Type
Individual
Enumerated
Nov 16, 2005
Last Updated
Jul 19, 2010

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