Individual
BRUCE E DYER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1508 TOMBRAS AVE, EAST RIDGE, TN 37412-2720
(423) 867-4969
(423) 867-4971
Mailing address
1508 TOMBRAS AVE, EAST RIDGE, TN 37412-2720
(423) 867-4969
(423) 867-4971
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
14248
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q031640
—
TN
Enumeration date
07/22/2009
Last updated
07/21/2022
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