NPI | 1700962040 |
---|---|
Other Name | BACKUS HEALTH CENTERS |
Entity Type | Organization |
Authorized Contact | DANIEL LOHR Vice President 860-889-8331 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
207Q00000X Family Medicine | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-10-30 |
Last Update Date | 2012-07-19 |