Individual
DR. LAYNE S BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
220 BANNOCK ST, MALAD CITY, ID 83252-5068
(208) 766-2231
Mailing address
PO BOX 126, MALAD CITY, ID 83252-0126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11262404-1204
UT
207Q00000X
Family Medicine Physician
L5966
TX
207Q00000X
Family Medicine Physician
Primary
O-1610
ID
208M00000X
Hospitalist Physician
11262404-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163946001
—
TX
Enumeration date
08/19/2005
Last updated
01/28/2022
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