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NPI Code Detail

MEDICARE: JOSHUA RYAN BAKER DO

MEDICARE: JOSHUA RYAN BAKER DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramOK
2207P00000XEmergency Medicine Physician6941OK

General Provider Information

NPI Number : 1255892113
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA RYAN BAKER DO
Provider Business Mailing Address
First Line : 4424 S 174TH EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74134-7169
Country : US
Telephone Number : 801-875-8173
Fax Number :
Provider Business Practice Location Address
First Line : 744 W 9TH ST
Second Line :
City : TULSA
State : OK
Zip : 74127-9907
Country : US
Telephone Number : 801-875-8173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2019
Last Update Date : 07/19/2023

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Directions to “ JOSHUA RYAN BAKER DO” Practice Location

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