Provider Demographics
NPI:1356857122
Name:PLUSHCARE PHYSICIAN'S GROUP OF WYOMING, INC., A PROFESSIONAL CORP
Entity type:Organization
Organization Name:PLUSHCARE PHYSICIAN'S GROUP OF WYOMING, INC., A PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-231-5333
Mailing Address - Street 1:2261 MARKET ST STE 22930
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1612
Mailing Address - Country:US
Mailing Address - Phone:415-231-5333
Mailing Address - Fax:415-231-5332
Practice Address - Street 1:101 MISSION ST STE 800
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-1744
Practice Address - Country:US
Practice Address - Phone:415-231-5333
Practice Address - Fax:415-231-5332
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLUSHCARE OF CALIFORNIA INC A PROFESSIONAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-15
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty