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Organization
CELSO LUIZ BACKES, MD, PC
Active
Organization
CELSO LUIZ BACKES, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELOS LUIZ BACKES MD, PC (PRESIDENT)
(814) 274-7101
Entity
Organization
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7101
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7101
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD035343L
PA
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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