Donald D Dyer
Individual provider Active NPI Sonography Radiologic Technologist · Vinemont, AL
NPI 1972819787 · NPPES record last updated Aug 31, 2010
Key facts
- NPI
- 1972819787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sonography Radiologic Technologist 2471S1302X
- License
- 24425 (AL)
- Practice address
- 65 County Road 1276
Vinemont, AL 35179-6202 - Phone
- (256) 739-1233
- Fax
- (256) 734-5129
- NPI assigned
- Aug 31, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stidham Medical, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 24425 | AL | Yes |
Addresses
Primary practice location
65 County Road 1276
Vinemont, AL 35179-6202
Mailing address
65 County Road 1276
Vinemont, AL 35179-6202
Phone (256) 739-1233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000032914 | Medicaid | AL |
Other providers in Vinemont, AL
- Anna Grace Quinn Atkins
- Joan Cheri' Brown
- David Corry
- Dennis Corry
- Kaylee Nicole Culwell
- Elizabeth Marie Gervais
- Kristi Jones
- KL Arnold Enterprises Inc
- Barbara Ann McGraw
- Presley Dean Palmer
All providers in Vinemont, AL · Sonography Radiologic Technologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2010. 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.