Doctor Name: | DONALD D DYER |
NPI Number: | 1972819787 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 24425 |
Business Practice Address: | 65 County Road 1276 Vinemont, AL - 351796202 |
Business Phone Number: | 2567391233 |
Business Fax Number: | 2567345129 |
Mailing Address: | 65 County Road 1276, VINEMONT |
State: | AL |
Postal Code: | 351796202 |
Phone Number: | 2567391233 |
Fax Number: | 2567345129 |
NPI Enumeration Date: | 08/31/2010 |
NPI Last Update Date: | 08/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | 24425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |