Individual
JEFFREY J. DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6950 E CHAUNCEY LN, SUITE 100, PHOENIX, AZ 85054-5155
(480) 538-3200
(480) 538-3210
Mailing address
6950 E CHAUNCEY LN, SUITE 100, PHOENIX, AZ 85054-5155
(480) 538-3200
(480) 538-3210
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
26487
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433417
—
AZ
01
—
AZ0779390
BLUE CROSS BLUE SHIELD
AZ
01
—
P00042703
MEDICARE RAILROAD
AZ
Enumeration date
10/06/2005
Last updated
08/19/2009
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