Samuel Baker
Durable Medical Equipment & Medical Supplies in Saint Louis, MO. Individual provider (NPI-1).
NPI number1629723960
StatusActive
Last updated in NPPESFeb 15, 2022
Details
- NPI
- 1629723960
- Entity type
- Individual (NPI-1)
- Name
- Samuel Baker
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2022
- Certification date
- Feb 15, 2022
- Last updated
- Feb 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | MO | Yes |
Practice location
216 Kingsville CtSaint Louis, MO 63119-2433
Phone 314-775-9446
Mailing address
216 Kingsville CtSaint Louis, MO 63119-2433
Phone 314-775-9446
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