JEROMY DAVID DYER

TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC, INC.

Dr JEROMY DAVID DYER is a male medical professional, specializing in Physician Assistant. He graduated in 2001.

Contact

TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC, INC.

1520 VIRGINIA RANCH RD
101B
GARDNERVILLE
NV
894105731

Tel: 7757836190

JEROMY DAVID DYER Information

Npi 1003927633
Pac Id 0143381269
Professional Enrollment Id I20160624002006
Last Name DYER
First Name JEROMY
Middle Name DAVID
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC, INC.
Group Practice Pac Id 8628979267
Number Of Group Practice Members 26
Line 1 Street Address 1520 VIRGINIA RANCH RD
Line 2 Street Address 101B
Marker Of Address Line 2 Suppression
City GARDNERVILLE
State NV
Zip Code 894105731
Phone Number 7757836190
Hospital Affiliation Ccn 1 290019
Hospital Affiliation Lbn 1 CARSON TAHOE REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 291306
Hospital Affiliation Lbn 2 CARSON VALLEY MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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