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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