Whalio Doctors

NPI 1619231966

Gregory S. Backofen, MD

Practitioner General Practice Physician El Dorado, AR

Practice location

Address
460 W Oak St, El Dorado, AR 71730-4567
Phone
(870) 881-4463
Mailing address
2421 Worth St, Hemphill, TX 75948-7215

Registered specialties (2)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence Q5755 (TX)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence E-9281 (AR)

Registry record

NPI
1619231966
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Jul 2012
Record last updated
8 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.