# DR. J WAYNE DILLARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659324234
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 1820 | ME | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 20A5941 | CA | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 60425 | MA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 1820 | ME | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 20A5941 | CA | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 60425 | MA | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 1820 | ME | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 60425 | MA | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 03/07/2025