Organization
WILLIAM BACKLUND MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BACKLUND (OWNER)
(425) 406-6717
Entity
Organization
Contact information
Practice address
23736 NE 116TH PL, REDMOND, WA 98053-5611
(425) 406-6717
Mailing address
23736 NE 116TH PL, REDMOND, WA 98053-5611
(425) 406-6717
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD00011230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039502
—
WA
Enumeration date
10/19/2015
Last updated
10/19/2015
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