BACKPACK MEDICAL GROUP, P.C.

ELKRIDGE, MD
NPI1851177570
Entity TypeOrganization
Authorized ContactDUKE RUKTANONCHAI
President
630-306-4394
Organization Subpart ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
Additional Taxonomies101Y00000X Counselor
101YP2500X Counselor, Professional
103T00000X Psychologist
104100000X Social Worker
1041C0700X Social Worker, Clinical
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-09-07
Last Update Date2024-12-10
Business Address
BACKPACK MEDICAL GROUP, P.C.
6655 SANTA BARBARA RD UNIT 8574
ELKRIDGE, MD 21075-7523
Phone number: 866-968-6342
Mailing Address
BACKPACK MEDICAL GROUP, P.C.
6655 SANTA BARBARA RD UNIT 8574
ELKRIDGE, MD 21075-7523
Phone number: 630-306-4394