Individual
MARK BACKERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3471 5TH AVE, SUITE 910, PITTSBURGH, PA 15213-3215
(412) 692-4503
Mailing address
3471 5TH AVE, SUITE 910, PITTSBURGH, PA 15213-3215
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OT013145
PA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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