Individual
DR. EVERETT BRANTLEY DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3427 ROBIN LN, SUITE 100, CAMERON PARK, CA 95682-7254
(530) 676-7337
(530) 676-6644
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G65725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G657250
LICENSE #
CA
Enumeration date
07/04/2006
Last updated
03/07/2023
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