Organization · Type 2 NPI
Wallace Bakers Mid-Level Group
Medical Physician Assistant · Idaho Falls, ID
NPI number
1639370810
Active
Practice location
1880 John Adams Pkwy
Idaho Falls, ID 83401-4315
Fax (208) 524-9952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | M6919 (ID) |
Medical Physician Assistant: Definition to come...
8 other providers at this address
- Wallace C BakerFamily Medicine Physician Idaho Falls, ID NPI 1134140148
- Jessica Lynne Christensen, FNPNurse Practitioner Idaho Falls, ID NPI 1457913162
- Joshua E. Hansen, PA-CMedical Physician Assistant Idaho Falls, ID NPI 1588948087
- Laura A. Tabor, P.A.Medical Physician Assistant Idaho Falls, ID NPI 1538121322
- Rebecca Jean Newby, PA-CPhysician Assistant Idaho Falls, ID NPI 1457685265
- Telietha Ann Hammon, FNP-BCFamily Nurse Practitioner Idaho Falls, ID NPI 1942976592
- Wade K. Christensen, P.A.Medical Physician Assistant Idaho Falls, ID NPI 1386626463
- Wallace C. Baker, MDFamily Medicine Physician Idaho Falls, ID NPI 1083696967
About NPI 1639370810
Wallace Bakers Mid-Level Group's National Provider Identifier is 1639370810, issued on May 29, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 22, 2020.