CLINTON W BAKER PA

ST LUKES CLINIC-TREASURE VALLEY LLC

Dr CLINTON W BAKER PA is a male medical professional, specializing in Physician Assistant. He graduated in 2003.

Contact

ST LUKES CLINIC-TREASURE VALLEY LLC

1210 NW 16TH ST
FRUITLAND
ID
836192202

Tel: 2084528600

CLINTON W BAKER PA Information

Npi 1861483562
Pac Id 7315925161
Professional Enrollment Id I20040709000146
Last Name BAKER
First Name CLINTON
Middle Name W
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 2003
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST LUKES CLINIC-TREASURE VALLEY LLC
Group Practice Pac Id 4981878402
Number Of Group Practice Members 746
Line 1 Street Address 1210 NW 16TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FRUITLAND
State ID
Zip Code 836192202
Phone Number 2084528600
Hospital Affiliation Ccn 1 130006
Hospital Affiliation Lbn 1 ST LUKE'S REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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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