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Individual
COURTNEY BACKER
Active
Individual
COURTNEY BACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11023
SD
208000000X
Pediatrics Physician
7577
NE
Other
Enumeration date
06/26/2015
Last updated
04/15/2022
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