Individual
ISAAC RICHARD BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 ELK CREEK RD, MALCOLM, NE 68402-9547
(308) 356-9006
Mailing address
211 ELK CREEK RD, MALCOLM, NE 68402-9547
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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