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Individual

DAVID BACKSTEDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
409 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-3108
(501) 664-6980
(501) 664-4738
Mailing address
409 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-3108
(501) 664-6980
(501) 664-4738

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E-10719
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220935001
AR
Enumeration date
08/09/2012
Last updated
11/15/2017
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