Individual
MARK BACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1213 24TH ST, #100, ANACORTES, WA 98221-2592
(360) 293-3101
(360) 588-1041
Mailing address
1213 24TH ST, #100, ANACORTES, WA 98221-2592
(360) 293-3101
(360) 588-1041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019350
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1789205
—
WA
Enumeration date
11/07/2006
Last updated
03/19/2009
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