Individual
DR. TARA M DYSON
Active
Individual
DR. TARA M DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101238659
VA
207RG0100X
Gastroenterology Physician
Primary
ME108675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003190800
—
FL
Enumeration date
02/07/2006
Last updated
12/13/2012
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