CODY OWEN BACKENSTOE

ALLENTOWN, PA
NPI1598007825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  RN595267)
Enumeration Date2013-03-25
Last Update Date2013-03-25
Business Address
Mr. CODY OWEN BACKENSTOE CRNA
421 CHEW ST
ALLENTOWN, PA 18102-3406
Phone number: 610-776-4200
Mailing Address
Mr. CODY OWEN BACKENSTOE CRNA
4653 STEVEN LN
WALNUTPORT, PA 18088-9619
Phone number: 484-951-3582
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