Individual
CORINNE ELIZABETH BACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10004 KENNERLY RD STE 230A, SAINT LOUIS, MO 63128-2181
(314) 525-4100
(314) 525-4891
Mailing address
10004 KENNERLY RD STE 230A, SAINT LOUIS, MO 63128-2181
(314) 525-4100
(314) 525-4891
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2021024233
MO
207V00000X
Obstetrics & Gynecology Physician
R4339
KY
Other
Enumeration date
03/22/2017
Last updated
08/05/2021
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