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Mark Baker, Surgical Assistant

Specialist/Technologist, Other, Surgical Assistant in Washington, DC. Individual provider (NPI-1).

NPI number1134818040
StatusActive
Last updated in NPPESMay 5, 2023

Details

NPI
1134818040
Entity type
Individual (NPI-1)
Name
Mark Baker
Credential
Surgical Assistant
Sex
Male
Sole proprietor
No
Enumeration date
May 5, 2023
Certification date
May 5, 2023
Last updated
May 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant––Yes

Practice location

110 Irving St Nw
Washington, DC 20010-3017

Phone 202-877-6413

Mailing address

12849 Galveston Ct
Manassas, VA 20112-8676

Phone 703-232-2524

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