Individual
MR. D. BRYAN DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 N 4TH AVE, SUITE 201, PURCELL, OK 73080-1806
(405) 527-5400
(405) 527-7332
Mailing address
1401 N 4TH AVE, SUITE 201, PURCELL, OK 73080-1806
(405) 527-5400
(405) 527-7332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16529
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080062107
RAILROAD MEDICARE
OK
05
—
100102430A
—
OK
01
—
16529
STATE LICENSE NUMBER
OK
Enumeration date
06/13/2006
Last updated
06/23/2010
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