Individual
LAURENCE VERNON AYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 SNOW BOWL RD, MISSOULA, MT 59808-9350
(406) 549-8757
(406) 549-0263
Mailing address
1605 SNOWBOWL ROAD, MISSOULA, MT 59808
(406) 549-8757
(406) 549-0263
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
02/22/2007
Last updated
07/08/2007
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