Dr. Robert J Backer, MD
Specialist in Saint Louis, MO. Individual provider (NPI-1).
NPI number1790788941
StatusActive
Last updated in NPPESFeb 10, 2011
Details
- NPI
- 1790788941
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert J Backer
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2005
- Last updated
- Feb 10, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MDR3D60 | MO | Yes |
Practice location
621 S New Ballas RdSte 297a
Saint Louis, MO 63141-8232
Phone 314-251-6364 · Fax 314-251-7897
Mailing address
621 S New Ballas RdSte 297a
Saint Louis, MO 63141-8232
Phone 314-251-6364 · Fax 314-251-7897
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