Whalio Doctors

NPI 1023033859

John V. Baka M.D.P.A

Organisation Specialist Benton, AR

Practice location

Address
1220 Military Rd, Benton, AR 72015-2908
Phone
(501) 778-1000
Fax
(501) 778-1010
Mailing address
PO Box 604, Benton, AR 72018-0604

Authorised official

Name
John Vincent Baka
Title
Physician
Phone
(501) 778-1000

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence E0792 (AR)

Registry record

NPI
1023033859
Entity type
Organization
NPI issued
13 Jul 2006
Record last updated
24 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.