Individual
ANN-SOPHIE VAN BACKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1960 N OGDEN ST STE 340, DENVER, CO 80218-3669
(303) 318-3830
Mailing address
1960 N OGDEN ST STE 340, DENVER, CO 80218-3669
(303) 318-3830
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5151014663
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0009369
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/08/2020
Last updated
06/28/2022
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