Whalio Doctors

NPI 1194258764

Bryan Baker, DO

Practitioner Physical Medicine & Rehabilitation Physician Idaho Falls, ID

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
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 34.015073 (OH)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

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.