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Individual

DR. JONATHON DAVID BACKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
181 W MEADOW DR STE 400, VAIL, CO 81657-5058
(970) 476-1100
(970) 479-5835
Mailing address
181 W MEADOW DR STE 400, VAIL, CO 81657-5058
(970) 476-1100
(970) 479-5845

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
0054772
CO
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
2019009680
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200068535
MO
Enumeration date
04/26/2010
Last updated
02/11/2026
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