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Dr. Robert J Backer, MD
Specialist in Saint Louis, Missouri
NPI 1790788941

Robert J Backer is a Specialist based in Saint Louis, MO. Robert J Backer practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Robert J Backer is 1790788941 and holds a License No. MDR3D60 (Missouri).

The current practice location address for Robert J Backer is 621 S New Ballas Rd, Saint Louis, MO and can be reached out via phone at 314-251-6364 and via fax at 314-251-7897.

Location: 621 S New Ballas Rd, Saint Louis, MO, 63141-8232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790788941
Provider Name
Robert J Backer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
621 S New Ballas Rd, Saint Louis, MO, 63141-8232
Phone Number
314-251-6364
Fax Number
314-251-7897
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
O06214 01 MO EXCLUSIVE CHOICE
43755 01 MO GROUP HEALTH PLAN
132437 01 MO HEALTHLINK
5810 01 MO BLUE CROSS BLUE SHIELD
0600013 01 MO UNITED HEALTHCARE
431725782 01 MO TAX ID #
140005147 01 MO MEDICARE RAILROAD
261839808 01 TAX ID
institution
Provider Business Practice Location Address Details
Address
621 S New Ballas Rd
City
Saint Louis
State
Missouri
Zip
63141-8232
Phone Number
314-251-6364
Fax Number
314-251-7897
person
Provider Business Mailing Address Details
Address
621 S New Ballas Rd
City
Saint Louis
State
Missouri
Zip
63141-8232
Phone Number
314-251-6364
Fax Number
314-251-7897
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MDR3D60 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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