Tlt

NPI #1093553539 in Sheridan, Wyoming

Provider Information

NPI Number: 1093553539
Entity Type: Organization
Organization Name: Tlt
Primary Specialty: Point of Service
Enumeration Date: Jul 18, 2024
Last Updated: Jul 18, 2024

Practice Location

Address: 30 N GOULD ST STE R
City: Sheridan
State: Wyoming
ZIP Code: 82801-6317
Phone: (347) 270-8183

Authorized Official

Name: MR. MILLAN ASH
Title: CEO
Phone: (347) 270-8183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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