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Contact Information

BROCK BAKER, MD
1 MERCADO ST STE 100CC
DURANGO, CO81301-7306
 Phone: 970-385-4746
 Fax: 970-259-5787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for BROCK BAKER · (Male)

NPI Number 1306397849
Status Active
Credentials MD
Entity Individual
Enumeration date 10/19/2016
Last updated 01/29/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # DR.0065455
Hospital affiliation(s)
  • MERCY REGIONAL MEDICAL CENTER - (Acute Care)
    1010 THREE SPRINGS BLVD
    DURANGO, CO 81301
  • PAGOSA MOUNTAIN HOSPITAL - (Critical Access)
    95 SOUTH PAGOSA BOULEVARD
    PAGOSA SPRINGS, CO 81147
  • SOUTHWEST MEMORIAL HOSPITAL - (Critical Access)
    1311 N MILDRED RD
    CORTEZ, CO 81321
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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