Organization · NPI-2

Dtg II PLLC

Family Medicine · Sheridan, WY

NPI number1467233221
StatusActive
Last updated in NPPESOct 9, 2023

Details

NPI
1467233221
Entity type
Organization (NPI-2)
Legal business name
Dtg II PLLC
Organization subpart
Yes
Enumeration date
Oct 9, 2023
Certification date
Oct 9, 2023
Last updated
Oct 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Beyondmd (Doing Business As)

Practice location

32 N Gould St
Sheridan, WY 82801-6317

Phone 800-268-7713 · Fax 415-704-3294

Mailing address

811 E Kent Rd
Greenville, MI 48838-9791

Phone 800-268-7713 · Fax 415-704-3294

Authorized official

Kandy Morris
Svp Of Managed Care
8777952361

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