| Dtg Ii Pllc | |
|
3295 W Elder St Ste 209 Boise ID 83705-4772 | |
| (800) 268-7713 | |
| (415) 704-3294 |
| Full Name | Dtg Ii Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3295 W Elder St Ste 209, Boise, Idaho |
| Authorized Official Name and Position | Kandy Morris (SVP OF MANAGED CARE) |
| Authorized Official Contact | 8777952361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtg Ii Pllc 811 E Kent Rd Greenville MI 48838-9791 Ph: (800) 268-7713 | Dtg Ii Pllc 3295 W Elder St Ste 209 Boise ID 83705-4772 Ph: (800) 268-7713 |
| NPI Number | 1568243319 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568243319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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