Individual
DR. LARRY R. STAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 728-6101
(406) 721-3278
Mailing address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 728-6101
(406) 721-3278
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10053
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045577
—
MT
Enumeration date
07/28/2005
Last updated
05/15/2019
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