Individual
JOE BACKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 NOYAL DR, LITTLE ROCK, AR 72223-5143
(501) 868-9381
Mailing address
9 NOYAL DR, LITTLE ROCK, AR 72223-5143
(501) 868-9381
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C4262
AR
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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