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John V. Baka M.D.P.A

Specialist in Benton, AR. Organization (NPI-2).

NPI number1023033859
StatusActive
Last updated in NPPESJan 24, 2011

Details

NPI
1023033859
Entity type
Organization (NPI-2)
Legal business name
John V. Baka M.D.P.A
Organization subpart
No
Enumeration date
Jul 13, 2006
Last updated
Jan 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistE0792ARYes

Other names

  • Benton Women'S Clinic (Doing Business As)

Practice location

1220 Military Rd
Benton, AR 72015-2908

Phone 501-778-1000 · Fax 501-778-1010

Mailing address

Po Box 604
Benton, AR 72018-0604

Phone 501-778-1000 · Fax 501-778-1010

Authorized official

John Vincent Baka
Physician
5017781000

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