NPI 1194258764
Bryan Baker, DO
Practice location
- Address
- 2635 Channing Way, Idaho Falls, ID 83404-7518
- Phone
- (208) 535-4343
- Mailing address
- 1776 Woodstead CT STE 208, The Woodlands, TX 77380-1480
Registered specialties (2)
Physical Medicine & Rehabilitation Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1194258764
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Apr 2017
- Record last updated
- 27 Mar 2024
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.