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NPI Code Detail

MEDICARE: ALTON W BAKER MD

MEDICARE: ALTON W BAKER MD
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
1174400000XSpecialist8597AL

General Provider Information

NPI Number : 1659376846
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALTON W BAKER MD
Provider Business Mailing Address
First Line : 2000A SOUTHBRIDGE PKWY
Second Line : STE 300
City : BIRMINGHAM
State : AL
Zip : 35209-7718
Country : US
Telephone Number : 205-871-4274
Fax Number : 205-871-4301
Provider Business Practice Location Address
First Line : 701 PRINCETON AVE SW
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35211-1303
Country : US
Telephone Number : 205-783-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 07/08/2007

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Directions to “ ALTON W BAKER MD” Practice Location

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