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Brian Baker, Phd

Specialist in West Jordan, UT. Individual provider (NPI-1).

NPI number1962045237
StatusActive
Last updated in NPPESOct 19, 2019

Details

NPI
1962045237
Entity type
Individual (NPI-1)
Name
Brian Baker
Credential
Phd
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 19, 2019
Last updated
Oct 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

8796 S 4770 W
West Jordan, UT 84088-4930

Phone 714-876-4111

Mailing address

7076 S Cherry Leaf Dr Apt 106
West Jordan, UT 84084-5778

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