Ronald Backus

NPI 1649385808 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1649385808
Gender Male
Enumeration Date 08/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
111 HAZEL LANE
SUITE 300
SEWICKLEY PA, 15143, US
Phone (412) 749-7330
Fax (412) 749-7339
Business Location
PO BOX 586
121 GROVE STREET EXTENSION
SEWICKLEY PA, 15143-0586, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Pennsylvania
License Number MD005496E
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According to our database, Ronald Backus NPI is 1649385808, taxonomy code is 2084P0800X and license number is MD005496E, license state is located at Pennsylvania. Ronald Backus physically located at 111 Hazel Lane, Sewickley PA, 15143. NPI Number Ronald Backus has the Individual type.

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1649385808 NPI number is provided on an as is basis without warranty of any kind. 1649385808 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Backus are for informational purposes only.