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Individual
MR. D. BRYAN DYE
Active
Individual
MR. D. BRYAN DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16529
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080062107
RAILROAD MEDICARE
OK
05
—
100102430A
—
OK
01
—
16529
STATE LICENSE NUMBER
OK
Enumeration date
06/13/2006
Last updated
06/23/2010
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