Individual
MARISSA ERIN BACKHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
302 3RD ST SE, LOVELAND, CO 80537-6419
(970) 669-4855
Mailing address
8450 ARISTA PL APT 316, BROOMFIELD, CO 80021-4177
(920) 562-8830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
12/26/2023
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