Organization
BACKCOUNTRY DOX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN KER DO (PHYSICIAN OWNER)
(307) 258-6618
Entity
Organization
Contact information
Practice address
1320 MORADO DR, CASPER, WY 82609
(307) 258-6618
(877) 850-2332
Mailing address
301 THELMA DR # 440, CASPER, WY 82609-2325
(307) 258-6618
(877) 850-2332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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