| NPI | 1730372624 |
|---|---|
| Other Name | JACK R. BAKER, D.O., INC. |
| Entity Type | Organization |
| Authorized Contact | JACK ROSS BAKER President 330-493-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 34-00-3232B) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |