JEFFREY CAMERON BACKOFEN

SHAW AFB, SC
NPI1720722473
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: SC  90973)
Enumeration Date2022-04-27
Last Update Date2023-11-03
Business Address
Dr. JEFFREY CAMERON BACKOFEN DO
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152-5100
Phone number: 803-895-6191
Mailing Address
Dr. JEFFREY CAMERON BACKOFEN DO
1300 BLUE JOHNSON RD
HOPKINS, SC 29061-9073
Phone number: 909-418-4720
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