Full Name | Backcountry Dox, Llc |
---|---|
Speciality | Family Medicine |
Location | 1320 Morado Dr, Casper, Wyoming |
Authorized Official Name and Position | Nathan Ker (PHYSICIAN OWNER) |
Authorized Official Contact | 3072586618 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Backcountry Dox, Llc 301 Thelma Dr # 440 Casper WY 82609-2325 Ph: (307) 258-6618 | Backcountry Dox, Llc 1320 Morado Dr Casper WY 82609 Ph: (307) 258-6618 |
NPI Number | 1265047773 |
---|---|
Provider Enumeration Date | 09/11/2020 |
Last Update Date | 09/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265047773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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