Individual provider · NPI-1

Mark D Baker, MD

Pediatrics, Pediatric Emergency Medicine · Birmingham, AL

NPI number1437146644
StatusActive
Last updated in NPPESApr 3, 2019

Details

NPI
1437146644
Entity type
Individual (NPI-1)
Name
Mark D Baker
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2005
Last updated
Apr 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0204X Pediatrics, Pediatric Emergency MedicineMD.26612ALYes
207P00000X Emergency MedicineMD.26612AL
208000000X PediatricsMD.26612AL

Practice location

1600 7th Ave S
Birmingham, AL 35233-1711

Phone 205-638-9587 · Fax 205-975-4623

Mailing address

1600 7th Ave S # Cppi110
Birmingham, AL 35233-1711

Phone 205-638-9587 · Fax 205-975-4623

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