WALLACE C BAKER

IDAHO FALLS, ID
NPI1083696967
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M2619)
Enumeration Date2005-11-16
Last Update Date2010-07-19
Business Address
-- WALLACE C BAKER M.D.
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4315
Phone number: 208-524-6633
Mailing Address
-- WALLACE C BAKER M.D.
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4315
Phone number: 208-524-6633
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