Healthcare Provider Details

I. General information

NPI: 1235504838
Provider Name (Legal Business Name): DYER HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2015
Last Update Date: 11/07/2020
Certification Date: 11/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W ORANGE GROVE RD STE 416
TUCSON AZ
85704-1141
US

IV. Provider business mailing address

11200 S SIERRITA MOUNTAIN RD BOX #146
TUCSON AZ
85736-1434
US

V. Phone/Fax

Practice location:
  • Phone: 520-888-3032
  • Fax: 800-330-0592
Mailing address:
  • Phone: 520-888-3032
  • Fax: 800-330-0592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY E DYER
Title or Position: PRESIDENT
Credential: FNP
Phone: 520-203-9547