Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 0102204034 | VA |
N | 207KA0200X | Allergist | H0075043 | MD |
N | 208000000X | Pediatrician | 58.001854 | OH |
NPI | 1023164910 |
---|---|
Provider Name | Dr. Troy W Baker |
First Address | Vienna, VA 22181-4049 |
Second Address | Mc Lean, VA 22102-3109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 08/06/2021 |