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Individual

SCOTT ALLEN DYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 622-8660
(207) 622-8661
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 622-8660
(207) 622-8661

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2213
ME
207K00000X
Allergy & Immunology Physician
DO126145
OR
207K00000X
Allergy & Immunology Physician
DO2213
ME
207K00000X
Allergy & Immunology Physician
OP60094489
WA
207KA0200X
Allergy Physician
DO126145
OR
207KA0200X
Allergy Physician
OP60094489
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508807751
ME
Enumeration date
06/09/2006
Last updated
05/03/2018
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