location
search-icon
institution
Wallace C Baker
Family Medicine Physician in Idaho Falls, Idaho
NPI 1134140148

Wallace C Baker is a Family Medicine Physician based in Idaho Falls, ID. Wallace C Baker practices in Idaho Falls, ID. The NPI Number for Wallace C Baker is 1134140148 and holds a License No. M6919 (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.

Location: 1880 John Adams Pkwy, Idaho Falls, ID, 83401-4315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134140148
Provider Name
Wallace C Baker
Credential
Provider Entity Type
Organization
Address
1880 John Adams Pkwy, Idaho Falls, ID, 83401-4315
Phone Number
208-524-6633
Fax Number
208-524-9952
Provider Enumeration Date
07/22/2006
Last Update Date
02/15/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1083696967 01 ID IND NPI NUMBER
807937700 05 ID
D1614 01 ID RAILROAD MCR GROUP
8K123 01 ID GRP BLUECROSS NO.
000010027582 01 ID BLUE SHIELD GROUP NUMBER
72132 01 ID BLUECROSS NUMBER
000010001770 01 ID BLUE SHILD INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
1880 John Adams Pkwy
City
Idaho Falls
State
Idaho
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
Idaho Falls
State
Idaho
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
207Q00000X
License No.
M6919 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.