WALLACE C BAKER

IDAHO FALLS, ID
NPI1134140148
Other NameBAKER FAMILY PRACTICE
Entity TypeOrganization
Authorized ContactWALLACE C. BAKER
Doctor
208-524-6633
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  m6919)
Enumeration Date2006-07-22
Last Update Date2010-07-19
Business Address
WALLACE C BAKER
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4315
Phone number: 208-524-6633
Mailing Address
WALLACE C BAKER
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4315
Phone number: 208-524-6633