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Organization

DTG II PLLC

Active
Parent organization
DTG II PLLC
Other names
BeyondMD
Organization subpart
Yes

Provider details

NPI number
Legal business name
DTG II PLLC
Authorized official
KANDY MORRIS (SVP OF MANAGED CARE)
(725) 214-1202
Entity
Organization

Contact information

Practice address
2610 W HORIZON RIDGE PKWY STE 101, HENDERSON, NV 89052-2870
(800) 268-7713
(415) 704-3294
Mailing address
811 E KENT RD, GREENVILLE, MI 48838-9791

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/09/2023
Last updated
01/04/2024
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