Individual
DR. JEFFREY J. DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 N OAK TRFY STE 200, KANSAS CITY, MO 64118-4690
(816) 453-0900
(816) 453-3895
Mailing address
9411 N. OAK TRAFFICWAY, LL1, LL1, KANSAS CITY, MO 64155-8582
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019046565
MO
207Q00000X
Family Medicine Physician
G85883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G85883
CA MED LIC
CA
Enumeration date
06/18/2006
Last updated
02/20/2023
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