Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 92-421 | AZ |
NPI | 1073733770 |
---|---|
Provider Name | Dr. John M. Dye |
First Address | Sedona, AZ 86336-5241 |
Second Address | Sedona, AZ 86336-5241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 16/06/2018 |