Individual
JONNA M. DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3215 N. NORTH HILLS BLVD., FAYETTEVILLE, AR 72703-4424
(479) 463-7102
(479) 463-7864
Mailing address
12 EAST APPLEBY ROAD, FAYETTEVILLE, AR 72703
(479) 463-7102
(479) 463-7864
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
04-33974
KS
208M00000X
Hospitalist Physician
2009022185
MO
208M00000X
Hospitalist Physician
Primary
E-8220
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235369497
—
MO
05
—
200628180A
—
KS
Enumeration date
07/22/2009
Last updated
07/21/2022
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