Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN GLENN BAKER, M.D.
ActiveDR. JONATHAN GLENN BAKER, M.D. is a Dermatology healthcare provider located in JACKSON, Wyoming. NPI 1447233754 is currently active in the NPPES registry. Verify at CMS.
Dermatology · JACKSON, WY
Registration Details
- NPI Number
- 1447233754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2005 (20.6846050977 yrs)
- Last Updated
- Aug 4, 2014
- Licenses
-
8097A (WY)A55560 (CA)
Practice Information
- Address
-
984 WEST BROADWAYSUITE 4JACKSON, WY, 830010000Browse WY providers · Browse ZIP 83001
- Phone
- 3077341800
- Fax
- 3077345012
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in JACKSON, WY
| Name | Credential | NPI |
|---|---|---|
| DR. BRITTANY WILSON BAKER | MD | 1265653745 |
| KELLY N O'CONNOR | — | 1841849312 |
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.