NPI 1184838005

Brandon Alan Baker, IDC

Practitioner Independent Duty Corpsman Crane, IN

Practice location

Address: Nsa Crane Medical Department Bldg 2516 300 Hwy 361, Crane, IN 47446
Phone: (812) 854-4314
Fax: (812) 854-1339
Mailing address: 879 Cassidy Ln, Mitchell, IN 47446-5215

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1184838005
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2007
Record last updated: 1 Aug 2007

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.