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NPI Code Detail

MEDICARE: DR. JEFFREY J. DYER M.D.

MEDICARE:  DR. JEFFREY J. DYER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianG85883CA
2207Q00000XFamily Medicine Physician2019046565MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G85883OTHERCACA MED LIC

General Provider Information

NPI Number : 1649215260
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY J. DYER M.D.
Provider Business Mailing Address
First Line : 9411 N. OAK TRAFFICWAY, LL1
Second Line : LL1
City : KANSAS CITY
State : MO
Zip : 64155-8582
Country : US
Telephone Number : 816-691-1655
Fax Number :
Provider Business Practice Location Address
First Line : 5400 N OAK TRFY STE 200
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4690
Country : US
Telephone Number : 816-453-0900
Fax Number : 816-453-3895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 02/20/2023

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Directions to “ DR. JEFFREY J. DYER M.D.” Practice Location

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