Individual
DR. ROBERT J BACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD, STE 297A, SAINT LOUIS, MO 63141-8232
(314) 251-6364
(314) 251-7897
Mailing address
621 S NEW BALLAS RD, STE 297A, SAINT LOUIS, MO 63141-8232
(314) 251-6364
(314) 251-7897
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MDR3D60
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600013
UNITED HEALTHCARE
MO
01
—
132437
HEALTHLINK
MO
01
—
140005147
MEDICARE RAILROAD
MO
01
—
261839808
TAX ID
—
01
—
431725782
TAX ID #
MO
01
—
43755
GROUP HEALTH PLAN
MO
01
—
5810
BLUE CROSS BLUE SHIELD
MO
01
—
O06214
EXCLUSIVE CHOICE
MO
Enumeration date
05/23/2005
Last updated
02/10/2011
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