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)
(877) 795-2361
Entity
Organization
Contact information
Practice address
7633 E 63RD PL STE 300, TULSA, OK 74133-1202
(800) 268-7713
(415) 704-3294
Mailing address
811 E KENT RD, GREENVILLE, MI 48838-9791
(800) 268-7713
(415) 704-3294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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