Organization
PINAL MOUNTAIN INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT JAY LAYTON MD (PRESIDENT)
(928) 402-0096
Entity
Organization
Contact information
Practice address
5884 S HOSPITAL DRIVE, SUITE #1, GLOBE, AZ 85501
(928) 402-0096
(928) 402-0098
Mailing address
PO BOX 2260, CLAYPOOL, AZ 85532-2260
(928) 402-0096
(928) 402-0098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14119
AZ
Other
Enumeration date
04/06/2006
Last updated
01/10/2008
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