Individual
MR. OWEN BRANT DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
150 SOUTH HUNTINGTON AVE, JAMAICA PLAIN, MA 02130
(617) 232-9500
Mailing address
150 SOUTH HUNTINGTON AVE, JAMAICA PLAIN, MA 02130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
207049
MA
Other
Enumeration date
10/10/2006
Last updated
07/10/2008
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