Individual
TYLER BACKLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3027 N CIRCLE DR, COLORADO SPRINGS, CO 80909-1179
(719) 776-4646
(719) 776-4640
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(719) 776-4646
(719) 776-4640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0058951
CO
Other
Enumeration date
04/21/2014
Last updated
06/05/2024
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