Dr. JONATHAN GLENN BAKER -- M.D.
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1447233754- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 984 WEST BROADWAY SUITE 4, JACKSON, WY, 830010000
- Phone
- (307) 734-1800
- Fax
- (307) 734-5012
Specialties & Taxonomies
Dermatology
Primary License: WY #8097A
Dermatology
License: CA #A55560