Individual
DR. GREGORY S. BACKOFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
460 W OAK ST, EL DORADO, AR 71730-4567
(870) 881-4463
Mailing address
2421 WORTH ST, HEMPHILL, TX 75948-7215
(409) 787-1416
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
E-9281
AR
208D00000X
General Practice Physician
Primary
Q5755
TX
Other
Enumeration date
07/02/2012
Last updated
09/08/2015
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