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Individual
PATRICIA ANN BACK
Active
Individual
PATRICIA ANN BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
250483-1
NY
207Q00000X
Family Medicine Physician
Primary
35-092581
OH
207Q00000X
Family Medicine Physician
BP10024926
TX
208M00000X
Hospitalist Physician
51286
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2966278
—
OH
Enumeration date
10/15/2008
Last updated
02/27/2019
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