-- W DOUGLAS BACK -- MD
Individual Provider (NPI-1)
Active
Ophthalmology
Provider Information
- NPI Number
1396765251- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 715 SHAKER DRIVE SUITE 120, LEXINGTON, KY, 405043674
- Phone
- (859) 278-8443
Specialties & Taxonomies
Ophthalmology
Primary License: KY #21381