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NPI Verification

National Provider Identifier: 1083696967

Wallace C Baker, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

1880 JOHN ADAMS PKWY

IDAHO FALLS, ID 834014315

Phone: 208-524-6633

NPI Enumeration Date

November 16, 2005

NPI Number

1083696967

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry