Individual
CARLA ALEXANDER DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2000159829
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192782
BLUE SHIELD/BLUE CHOICE
MO
05
—
209026202
—
MO
01
—
672639
HEALTHLINK
MO
01
—
7500336
UNITED HEALTHCARE
MO
01
—
P00208218
RR MEDICARE
MO
Enumeration date
05/24/2006
Last updated
09/14/2022
Update your record
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