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Dr. Gary L Dier

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NPI Number Detailed Information

Provider Information:

Name: Dr. Gary L Dier
Gender: M
Provider License Number If Given: MD042743E

NPI Information:

NPI: 1518966118
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 12/18/2018

Provider Business Mailing Address:

Address: PO BOX 3635 1126 OAKWOOD DRIVE
Alliance, OH 44601
Phone Number: 3305697782
Fax Number: 3305967791

Provider Business Practice Location Address:

Address: 200 E STATE ST
Alliance, OH 44601
Phone Number: 3305966000
Fax Number:

Provider Taxonomy:

Primary: 2085R0202X
Secondary (if any): 2085R0202X
State: OH

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