Individual
MITCHELL DEAN DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(888) 203-1274
Mailing address
1 TRILLIUM WAY, CORBIN, KY 40701-8727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC036
KY
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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