Dtg II Pllc

NPI #1598445892 in Boulder, Colorado

Provider Information

NPI Number: 1598445892
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: Jul 20, 2023
Last Updated: Jul 20, 2023

Practice Location

Address: 4770 BASELINE RD STE 200
City: Boulder
State: Colorado
ZIP Code: 80303-2668
Phone: (800) 268-7713

Authorized Official

Name: DR. JOHN M BERNARD, MD
Title: PRESIDENT
Phone: (800) 268-7713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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