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Individual
DOUGLAS D BACKOUS
Active
Individual
DOUGLAS D BACKOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00034718
WA
207YX0901X
Otology & Neurotology Physician
MD00034718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045189
—
WA
01
—
376478
WA L&I
—
Enumeration date
08/23/2006
Last updated
05/31/2024
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