| Backcountry Dox, LLC | |
|
1320 Morado Dr Casper WY 82609 | |
| (307) 258-6618 | |
| (877) 850-2332 |
| 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 |
| Certification Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265047773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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