NPI 1265047773 · live from the CMS NPI Registry
Backcountry Dox, LLC
Family Medicine in Casper, WY. National Provider Identifier 1265047773, active.
NPI record
| NPI | 1265047773 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1320 Morado Dr, Casper, WY 82609 |
| Practice phone | 307-258-6618 |
| Mailing address | 301 Thelma Dr # 440, Casper, WY 82609 |
| Enumerated | September 11, 2020 |
| Last updated | September 11, 2020 |
| Authorized official | Nathan Ker, Physician Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.