| NPI Details | |
|---|---|
| NPI | 1093790487 |
| Gender | Male |
| Enumeration Date | 12/08/2005 |
| Last Updated | 12/07/2007 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 10010 KENNERLY RD SAINT LOUIS MO, 63128-2106, US |
|
| Phone | (314) 525-4492 |
| Fax | (314) 525-4481 |
| Business Location | |
|---|---|
| PO BOX 954129 SAINT LOUIS MO, 63195-4129, US |
|
| Phone | (314) 821-8055 |
| Fax | (314) 821-1833 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2085R0204X |
| License State | Missouri |
| License Number | 36777 |
| Remove 1093790487 NPI Number | |
According to our database, Bradley K Baker M.D. NPI is 1093790487, taxonomy code is 2085R0204X and license number is 36777, license state is located at Missouri. Bradley K Baker M.D. physically located at 10010 Kennerly Rd, Saint Louis MO, 63128-2106. NPI Number Bradley K Baker M.D. has the Individual type.
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1093790487 NPI number is provided on an as is basis without warranty of any kind. 1093790487 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley K Baker M.D. are for informational purposes only.
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