Stephanie Dyer, MD
Individual provider Active NPI Anesthesiology Physician · Tuba City, AZ
NPI 1902863376 · NPPES record last updated Jun 29, 2011
Key facts
- NPI
- 1902863376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- K4046 (TX)
- Practice address
- 167 N Main Street
Tuba City, AZ 86045-0600 - Phone
- (928) 283-2501
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18442 | MS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Regional Medical Center, LP | Past | Accepting new patients | |
| Delta Regional Anesthesiology Group | Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 18442 | MS | |
| Anesthesiology Physician | 207L00000X | K4046 | TX | Yes |
Addresses
Primary practice location
167 N Main Street
Tuba City, AZ 86045-0600
Mailing address
PO Box 600
Tuba City, AZ 86045-0600
Phone (928) 283-2501
Other providers in Tuba City, AZ
- Jeremy Michael Dubinsky
- Lindsey Marie Dugi
- Carlo Cruz Dullano
- Beth Christine Duschalko
- Rachel Dye
- Marshall Eugene Earl
- Shirley Anne Eder
- Christopher Paul Edger
- Alexandria Edwards
- Madeline Elizabeth Eells
All providers in Tuba City, AZ · Anesthesiology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.