Individual
JUSTIN DEANTHONY DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4451 HWY 1 S STE 5, PORT ALLEN, LA 70767-5907
(225) 763-4852
(228) 763-4853
Mailing address
4451 HWY 1 S STE 5, PORT ALLEN, LA 70767-5907
(252) 763-4852
(225) 763-4853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
325979
LA
Other
Enumeration date
03/31/2018
Last updated
04/24/2025
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