Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 4082 | AZ |
NPI | 1598713539 |
---|---|
Provider Name | Dr. Samuel Steven Baker |
First Address | Tucson, AZ 85712-2829 |
Second Address | Tucson, AZ 85712-2829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 06/07/2021 |