NPI 1447233754

Jonathan Glenn Baker, MD

Practitioner Dermatology Physician Jackson, WY

Practice location

Address: 984 West Broadway Suite 4, Jackson, WY 83001-0000
Phone: (307) 734-1800
Fax: (307) 734-5012
Mailing address: PO Box 14510, Jackson, WY 83002-4510

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 8097A (WY)

Other Dermatology providers in Wyoming →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence A55560 (CA)

Registry record

NPI: 1447233754
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Nov 2005
Record last updated: 4 Aug 2014

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.