Healthcare Provider Details

I. General information

NPI: 1376554493
Provider Name (Legal Business Name): DANA L DWYER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 BLAKE AVENUE, SUITE 1A A CENTER FOR WOMEN'S CARE, PC
GLENWOOD SPGS CO
81601
US

IV. Provider business mailing address

PO BOX 9768 A CENTER FOR WOMEN'S CARE, PC
BELFAST ME
04915-9768
US

V. Phone/Fax

Practice location:
  • Phone: 970-384-2000
  • Fax: 970-928-8302
Mailing address:
  • Phone: 970-945-2238
  • Fax: 970-928-8925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301080651
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number48067
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: