Individual
BRENT J LAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005627
CIGNA
—
01
—
1423714
BANNER
—
01
—
18053338
STATE FUND INDUSTRIAL
—
01
—
1Z9109
HEALTH NET
—
01
—
22440405
UNITED HEALTH CARE
—
05
—
248395
—
AZ
01
—
AZ0383440
BLUE CROSS BLUE SHIELD
—
01
—
ZMD14119A
MEDICARE GROUP ID
AZ
Enumeration date
04/06/2006
Last updated
02/25/2008
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