BEN BACK, PA

Physician Assistant - Medical

Active Individual
NPI: 1619942562

Practice Address

210 BLACK GOLD BLVD STE 106
Hazard, KY 41701

Phone: (606) 436-0711

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes PA364 (KY)

Frequently Asked Questions

NPI 1619942562 is the National Provider Identifier for BEN BACK, PA, a Physician Assistant - Medical provider located in Hazard, KY. This NPI was enumerated on February 22, 2006.
BEN BACK, PA practices at 210 BLACK GOLD BLVD STE 106, Hazard, KY 41701.

Quick Facts

NPI
1619942562
Type
Individual
Enumerated
Feb 22, 2006
Last Updated
May 13, 2021

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