BACKPACK MEDICAL GROUP PC

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
103T00000X Psychologist
1041C0700X Social Worker Clinical
Enumeration Date2023-09-07
Last Update Date2023-09-07
Business Address
BACKPACK MEDICAL GROUP PC
6655 SANTA BARBARA RD UNIT 8574
ELKRIDGE, MD 21075-7523
Phone number: 866-968-6342
Mailing Address
BACKPACK MEDICAL GROUP PC
2023 W GROVE DR
GIBSONIA, PA 15044-6059
Phone number: 630-306-4394