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Individual

DR. DAN R DYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1317 12TH ST, ELDORA, IA 50627-1722
(641) 939-2020
(641) 939-3100
Mailing address
1317 12TH ST, PO BOX 208, ELDORA, IA 50627-1722
(641) 939-2020
(641) 939-3100

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1738T
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0187005
IA
01
410024165
PALMETTO RR MEDICARE
IA
Enumeration date
08/12/2005
Last updated
02/16/2015
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