Individual
HOLLY L DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1249 15TH ST, SUITE 3000, HUNTINGTON, WV 25701-3662
(304) 691-1000
(304) 691-1063
Mailing address
1249 15TH ST, SUITE 3000, HUNTINGTON, WV 25701-3662
(304) 691-1000
(304) 691-1063
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01331
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002020293
BLUE CROSS
MI
Enumeration date
03/13/2008
Last updated
01/17/2011
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