Individual
DR. LAYNE A DAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2321 PYRAMID WAY, SPARKS, NV 89431
(775) 331-1919
(775) 331-2008
Mailing address
2321 PYRAMID WAY, SPARKS, NV 89431
(775) 331-1919
(775) 331-2008
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
10197768-0501
UT
213E00000X
Podiatrist
Primary
2061
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
POD000886
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639249782
DMBA
UT
01
—
190753
PEHP
UT
Enumeration date
11/08/2006
Last updated
11/16/2022
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