Individual
BRETT MARSHALL DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 580-6321
Mailing address
421 W 300 S, SPANISH FORK, UT 84660-9241
(801) 580-6321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7325637-4406
UT
390200000X
Student in an Organized Health Care Education/Training Program
2018015155
MO
Other
Enumeration date
04/15/2021
Last updated
06/27/2021
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