Individual
DR. JOANNE E BACKOFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1114 SUNSET DR, STE 4, JOHNSON CITY, TN 37604-2969
(423) 283-0776
(423) 283-0549
Mailing address
PO BOX 3727, JOHNSON CITY, TN 37602-3727
(423) 283-0776
(423) 283-0549
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD0000024841
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079258
—
TN
Enumeration date
06/30/2005
Last updated
11/20/2009
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