Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE C BAKER, M.D.
Active Sole ProprietorFamily Medicine · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1083696967
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2005 (20.428753361955 yrs)
- Last Updated
- Jul 19, 2010
- License
-
M2619 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1880 JOHN ADAMS PKWYIDAHO FALLS, ID, 834014315Browse ID providers · Browse ZIP 83401
- Phone
- 2085246633
- Fax
- 2085249952
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. ERIC W. PERTTULA | M.D. | 1710988894 |
| DR. LARAMIE L. WHEELER | D.O. | 1801889456 |
| DR. JULIAN DE BRUYN KOPS III | MD | 1922086552 |
| JUDY LEE JONES | MD | 1295707099 |
| BRAD C ERIKSON | DO | 1164477931 |
| MRS. REBECCA H ADAMS | MD | 1689610842 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.