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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALLACE C BAKER

Active Organization

WALLACE C BAKER is a Family Medicine organization located in IDAHO FALLS, Idaho. NPI 1134140148 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · IDAHO FALLS, ID

Registration Details

NPI Number
1134140148
Provider Type
Organization
NPI Issued
Jul 22, 2006 (20.035987009301 yrs)
Last Updated
Jul 19, 2010
License
M6919 (ID)

Practice Information

Address
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID, 834014315
Browse ID providers · Browse ZIP 83401
Phone
2085246633
Fax
2085249952
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in IDAHO FALLS, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.