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

CLINTON W BAKER, PA-C

Active

CLINTON W BAKER, PA-C is a Physician Assistant healthcare provider located in FRUITLAND, Idaho. NPI 1861483562 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FRUITLAND, ID

Registration Details

NPI Number
1861483562
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2005 (20.751508017546 yrs)
Last Updated
Jul 29, 2019
License
PA-454 (ID)

Practice Information

Address
1210 NW 16TH ST
FRUITLAND, ID, 836192202
Browse ID providers · Browse ZIP 83619
Phone
2084528600
Fax
2084528601
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FRUITLAND, ID

Name Credential NPI
THAD W WILKEY PA 1174513188
MR. MATTHEW JOSEPH BERRIA PA 1982791810
SAGE MICHELE BENINTENDI-STRINGER PA 1902985740
GEORGE J ROTH PA-C 1073720124
NICOLE K HOYT PA-C 1578733234
MARY LYNN JAMES PA 1982907747
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.