Individual
DR. THOMAS MICHAEL DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 273-5801
(405) 878-3794
Mailing address
PO BOX 258884, OKLAHOMA CITY, OK 73125-8884
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27203
OK
207X00000X
Orthopaedic Surgery Physician
36 069144
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200266580A
—
OK
Enumeration date
02/24/2006
Last updated
11/17/2016
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