| Backpack Medical Group Of Ks Association | |
|
6655 Santa Barbara Rd Unit 8574 Elkridge MD 21075-7523 | |
| (630) 306-4394 | |
| Not Available |
| Full Name | Backpack Medical Group Of Ks Association |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6655 Santa Barbara Rd Unit 8574, Elkridge, Maryland |
| Authorized Official Name and Position | Duke Ruktanonchai (PRESIDENT) |
| Authorized Official Contact | 6303064394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Backpack Medical Group Of Ks Association 2023 W Grove Dr Gibsonia PA 15044-6059 Ph: () - | Backpack Medical Group Of Ks Association 6655 Santa Barbara Rd Unit 8574 Elkridge MD 21075-7523 Ph: (630) 306-4394 |
| NPI Number | 1275361297 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275361297 | NPI | - | NPPES |
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