Individual
DOUGLAS DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 25 RD, AXTELL, NE 68924-3662
(308) 708-1419
Mailing address
1750 25 RD, AXTELL, NE 68924-3662
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2026
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