Dtg II Pllc

NPI #1467233221 in Sheridan, Wyoming

Provider Information

NPI Number: 1467233221
Entity Type: Organization
Organization Name: Dtg II Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: DTG II PLLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 32 N GOULD ST
City: Sheridan
State: Wyoming
ZIP Code: 82801-6317
Phone: (800) 268-7713

Authorized Official

Name: KANDY MORRIS
Title: SVP OF MANAGED CARE
Phone: (877) 795-2361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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