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NPI Code Detail

MEDICARE: DR. GREGORY J BAKER DO

MEDICARE: DR. GREGORY J 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
12084N0400XNeurology PhysicianTPOS607FL
22084N0400XNeurology PhysicianDO1473NV

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 : 1497775522
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY J BAKER DO
Provider Business Mailing Address
First Line : 2345 E PRATER WAY STE 207
Second Line :
City : SPARKS
State : NV
Zip : 89434-9634
Country : US
Telephone Number : 775-356-4067
Fax Number : 702-333-8466
Provider Business Practice Location Address
First Line : 5400 S RAINBOW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1859
Country : US
Telephone Number : 702-853-3000
Fax Number : 702-333-8466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 06/23/2023

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