Organization
LAURENCE V. AYRES, MD, PC
Active
Organization
LAURENCE V. AYRES, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE V. AYRES MD (SOLE PROPRIETOR)
(406) 360-8757
Entity
Organization
Contact information
Practice address
1605 SNOW BOWL RD, MISSOULA, MT 59808-9350
(406) 549-8757
(406) 549-0263
Mailing address
PO BOX 8778, MISSOULA, MT 59807-8778
(406) 327-9772
(406) 327-9772
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5030
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000074321
—
MT
Enumeration date
06/03/2010
Last updated
06/03/2010
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