Individual
ERIC DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3801 SACRAMENTO ST STE 300, SAN FRANCISCO, CA 94118-1625
(415) 641-2198
(415) 865-4189
Mailing address
1292 HIGH ST STE 224, EUGENE, OR 97401-3238
(541) 500-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA173036
OR
363A00000X
Physician Assistant
Primary
PA56688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA56688
STATE MEDICAL LICENSE
CA
Enumeration date
03/20/2013
Last updated
04/09/2021
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