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Individual

LLOYD C DYAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 JAMES HOVATER RD, RUSSELLVILLE, AL 35653-8004
(256) 332-6208
(256) 332-6213
Mailing address
PO BOX 626, RUSSELLVILLE, AL 35653-0626
(256) 332-6208
(256) 332-6213

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12405
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000045543
AL
Enumeration date
08/18/2005
Last updated
06/11/2015
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