| James B Baker Do Pa | |
|
808 S 52nd St Suite #201 Rogers AR 72758-8602 | |
| (479) 319-6009 | |
| (479) 319-6002 |
| Full Name | James B Baker Do Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 808 S 52nd St, Rogers, Arkansas |
| Authorized Official Name and Position | James B Baker (PHYSICIAN) |
| Authorized Official Contact | 4793196009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James B Baker Do Pa 808 S 52nd St Suite #201 Rogers AR 72758-8602 Ph: (479) 319-6009 | James B Baker Do Pa 808 S 52nd St Suite #201 Rogers AR 72758-8602 Ph: (479) 319-6009 |
| NPI Number | 1922457647 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 06/13/2016 |
| Medicare PECOS PAC ID | 8527355890 |
|---|---|
| Medicare Enrollment ID | O20160930000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922457647 | NPI | - | NPPES |
| 119496744 | Other | AR | PROVIDER NPI1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N8006 (Arkansas) | Primary |
| Provider Name | James B Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225086630 PECOS PAC ID: 7911905369 Enrollment ID: I20061117000487 |
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