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Organization

CELSO LUIZ BACKES, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CELOS LUIZ BACKES MD, PC (PRESIDENT)
(814) 274-7101
Entity
Organization

Contact information

Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7101
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7101

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD035343L
PA

Other

Enumeration date
10/09/2009
Last updated
10/09/2009
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