Individual
BRENT J LAYTON
Active
Individual
BRENT J LAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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