Provider Demographics
NPI:1518108711
Name:DYER, STEVEN RANCE (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:RANCE
Last Name:DYER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6600 S YALE AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3361
Mailing Address - Country:US
Mailing Address - Phone:918-488-6045
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:6475 S YALE AVE STE 401
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7818
Practice Address - Country:US
Practice Address - Phone:918-502-9555
Practice Address - Fax:918-502-9559
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2018-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101017956207YX0905X
MO2013021744207YP0228X
OK5501207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery