Individual
MEAGAN NICOLE BACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3276 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 404-2110
(479) 404-2111
Mailing address
3276 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 404-2110
(479) 404-2111
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
PENDING
AR
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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