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Individual

DR. RICHARD D BACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
1706 E JOYCE BLVD, SUITE 3, FAYETTEVILLE, AR 72703-5238
(479) 442-9381
(479) 442-9396
Mailing address
1706 E JOYCE BLVD, SUITE 3, FAYETTEVILLE, AR 72703-5238
(479) 442-9381
(479) 442-9396

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
78-18 P
AR

Other

Enumeration date
07/27/2006
Last updated
05/14/2008
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