Dr WALLACE COLEMAN BAKER is a male medical professional, specializing in Family Medicine. He graduated in 1993 from University Of Utah School Of Medicine.
WALLACE C BAKER
1880 JOHN ADAMS PKWY
IDAHO FALLS
ID
834014315
Tel: 2085246633
| Npi | 1083696967 |
| Pac Id | 6608824164 |
| Professional Enrollment Id | I20100823001005 |
| Last Name | BAKER |
| First Name | WALLACE |
| Middle Name | COLEMAN |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | WALLACE C BAKER |
| Group Practice Pac Id | 0446208904 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 1880 JOHN ADAMS PKWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834014315 |
| Phone Number | 2085246633 |
| Hospital Affiliation Ccn 1 | 130018 |
| Hospital Affiliation Lbn 1 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130065 |
| Hospital Affiliation Lbn 2 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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