Dr. Jay P Baker, DO
General Practice in Springfield, MO. Individual provider (NPI-1).
NPI number1972509974
StatusActive
Last updated in NPPESJan 26, 2024
Details
- NPI
- 1972509974
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jay P Baker
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2005
- Certification date
- Jan 26, 2024
- Last updated
- Jan 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 36747 | MO | Yes |
| 207L00000X | Anesthesiology | 36747 | MO | |
| 207LP2900X | Anesthesiology, Pain Medicine | 36747 | MO |
Practice location
1540 E Evergreen StSpringfield, MO 65803-4300
Phone 417-823-2900 · Fax 417-886-2774
Mailing address
108 S Hickory StMount Vernon, MO 65712-1407
Phone 417-466-4110 · Fax 417-466-4255
Other practice locations
108 S Hickory St
Mount Vernon, MO 65712-1407
Mount Vernon, MO 65712-1407
Phone 417-466-4110 · Fax 417-466-4255
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