TYLER BACKLAS
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1598185381- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3027 N CIRCLE DR, COLORADO SPRINGS, CO, 809091179
- Phone
- (719) 776-4646
- Fax
- (719) 776-4640
Specialties & Taxonomies
Family Medicine
Primary License: CO #DR.0058951