person
Wallace C Baker, MD
Family Medicine Physician in Idaho Falls, Idaho
NPI 1083696967

Wallace C Baker is a Family Medicine Physician based in Idaho Falls, ID. Wallace C Baker practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Wallace C Baker is 1083696967 and holds a License No. M2619 (Idaho).

The current practice location address for Wallace C Baker is 1880 John Adams Pkwy, Idaho Falls, ID and can be reached out via phone at 208-524-6633 and via fax at 208-524-9952. You can also correspond with Wallace C Baker through the mailing address at 1880 JOHN ADAMS PKWY, IDAHO FALLS, ID - 83401-4315 (mailing address contact number: 208-524-6633).

Location: 1880 John Adams Pkwy, Idaho Falls, ID, 83401-4315
person
Provider Profile Details
NPI Number
1083696967
Provider Name
Wallace C Baker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1880 John Adams Pkwy, Idaho Falls, ID, 83401-4315
Phone Number
208-524-6633
Fax Number
208-524-9952
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010001770 01 ID BLUE SHIELD PROVIDER NUMB
000010027582 01 ID BLUE SHIELD GROUP
080097138 01 ID RR MEDICARE
8K123 01 ID BLUE CROSS GROUP
002796800 05 ID
266877 01 ID DMBA
1134140148 01 ID BAKER FAMILY GROUP NPI
72132 01 ID IDAHO BLUE CROSS PROVIDER
807937700 05 ID
DE1614 01 ID RR MEDICARE GRP
institution
Provider Business Practice Location Address Details
Address
1880 John Adams Pkwy
City
State
Zip
83401-4315
Phone Number
208-524-6633
Fax Number
208-524-9952
person
Provider Business Mailing Address Details
Address
1880 John Adams Pkwy
City
State
Zip
83401-4315
Phone Number
208-524-6633
Fax Number
208-524-9952
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
M2619 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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