Individual provider · NPI-1

Dr. Stephen Douglas Baker Jr., M.D.

Emergency Medicine · Shreveport, LA

NPI number1346479524
StatusActive
Last updated in NPPESOct 29, 2014

Details

NPI
1346479524
Entity type
Individual (NPI-1)
Name
Dr. Stephen Douglas Baker Jr.
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 8, 2009
Last updated
Oct 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineMD.205921LAYes

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Phone 318-675-5000

Mailing address

1512 W Kirby Pl
Shreveport, LA 71103-3822

Phone 318-675-5000

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