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NPI Code Detail

MEDICARE: BRANDON KEITH BAKER D.O.

MEDICARE:   BRANDON KEITH BAKER  D.O.
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
12084P0800XPsychiatry PhysicianDR.0068421CO
22084P0800XPsychiatry PhysicianOS15184FL

General Provider Information

NPI Number : 1528450665
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON KEITH BAKER D.O.
Provider Business Mailing Address
First Line : 9475 BRIAR VILLAGE PT STE 320
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7905
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 9475 BRIAR VILLAGE PT STE 320
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7905
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2015
Last Update Date : 07/31/2024

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Directions to “ BRANDON KEITH BAKER D.O.” Practice Location

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