Individual
DR. THOMAS ANDREW LAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
414 RAINIER CT, MISSOULA, MT 59803-2456
(406) 728-3617
Mailing address
414 RAINIER CT, MISSOULA, MT 59803-2456
(406) 728-3617
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4248
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058890
—
MT
Enumeration date
08/31/2006
Last updated
07/08/2007
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