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NPI Code Detail

MEDICARE: DR. CLIFFORD TSUYOSHI BAKER M.D

MEDICARE: DR. CLIFFORD TSUYOSHI BAKER M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician42990AZ
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician42990AZ
3208VP0000XPain Medicine Physician42990AZ
4208VP0014XInterventional Pain Medicine Physician42990AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235342775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLIFFORD TSUYOSHI BAKER M.D
Provider Business Mailing Address
First Line : 13203 N 103RD AVE
Second Line : STE H5
City : SUN CITY
State : AZ
Zip : 85351-3032
Country : US
Telephone Number : 623-777-4747
Fax Number : 623-777-4748
Provider Business Practice Location Address
First Line : 13203 N. 103RD AVENUE
Second Line : SUITE H4
City : SUN CITY
State : AZ
Zip : 85351-3032
Country : US
Telephone Number : 623-777-4747
Fax Number : 623-777-4748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 08/07/2025

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