# CELSO LUIZ BACKES, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467787374
- **Authorized official:** CELOS LUIZ BACKES MD, PC (PRESIDENT)
- **Authorized official phone:** (814) 274-7101

## Contact information

- **Practice address:** 1001 E 2ND ST, COUDERSPORT, PA 16915-8161
- **Practice address phone:** (814) 274-7101
- **Mailing address:** 1001 E 2ND ST, COUDERSPORT, PA 16915-8161
- **Mailing address phone:** (814) 274-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD035343L | PA | Yes |

## Other

- **Enumeration date:** 10/09/2009
- **Last updated:** 10/09/2009