Individual provider · Type 1 NPI

Dalton James Baker, PA-C

Medical Physician Assistant · St. Louis, MO

NPI number 1619700309 Active

Practice location

6763 Page Ave
St. Louis, MO 63133-1635

Fax (314) 898-1773

Mailing address

4420 Norfolk Ave Apt 203
St. Louis, MO 63110-2292

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1619700309

Dalton James Baker, PA-C's National Provider Identifier is 1619700309, issued on Aug 20, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Louis, MO. The record was last updated on Aug 6, 2025.