Male or Other

Drostan G. Baker MD

Family Medicine Physician in Liberty Lake, WA(View on Map)

Full Name

Drostan Gregg Baker MD

NPI Number

1467689166

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/19/2009

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Idaho
Washington

License Number

M13734
MD60250792

Contact
Information

Purpose

Mailing
Location

Address

2003 KOOTENAI HEALTH WAY
2207 N MOLTER RD STE 203

City

Coeur D Alene
Liberty Lake

State

ID
WA

Postal Code

83814-6051
99019

Country

US
US

Telephone Number

(208) 625-5085
(509) 565-8803

Identifiers

Identifier

00

Identifier State

WA

Identifier Issuer

RESIDENT

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/20/2019

Provider Address

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