Online Doctor Office

NPI #1629731757 in Sheridan, Wyoming

Provider Information

NPI Number: 1629731757
Entity Type: Organization
Organization Name: Online Doctor Office
Primary Specialty: Point of Service
Enumeration Date: Oct 15, 2021
Last Updated: Oct 15, 2021

Practice Location

Address: 30 N GOULD ST STE N
City: Sheridan
State: Wyoming
ZIP Code: 82801-6317
Phone: (800) 222-9375

Authorized Official

Name: MR. TERRY LEWIS
Title: CIO
Phone: (304) 639-9809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Health Service — Health Service	261QH0100X
Point of Service	305S00000X	Primary

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