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Organization

LAURA E. DYER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA E DYER M.D. (PHYSICIAN)
(256) 799-2511
Entity
Organization

Contact information

Practice address
3007 MEMORIAL PKWY SW, SUITE B, HUNTSVILLE, AL 35801-5393
(256) 799-2511
(256) 799-2519
Mailing address
3007 MEMORIAL PKWY SW, SUITE B, HUNTSVILLE, AL 35801-5393
(256) 799-2511
(256) 799-2519

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00022942
AL
207Q00000X
Family Medicine Physician
057362
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
22942
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051532984
BCBS
AL
Enumeration date
02/04/2010
Last updated
02/04/2010
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