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.
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 |
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