SAM BAKER

SPRINGFIELD, VA
NPI1992887798
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0618002372)
Enumeration Date2006-10-20
Last Update Date2021-05-28
Business Address
Dr. SAM BAKER OD
6535 SPRINGFIELD MALL SPACE # 11045
SPRINGFIELD, VA 22150-1714
Phone number: 703-971-4739
Mailing Address
Dr. SAM BAKER OD
9127 CRICKLEWOOD CT
VIENNA, VA 22182-1702
Phone number:
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