Individual
DR. MARK WALTER LAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1212 HARRISON AVE NW, OLYMPIA, WA 98502-5466
(360) 754-6700
(360) 754-0164
Mailing address
1212 HARRISON AVE NW, OLYMPIA, WA 98502-5466
(360) 754-6700
(360) 754-0164
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MD00024518
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027689
—
WA
01
—
12371
L&I NUMBER
WA
Enumeration date
01/15/2007
Last updated
07/09/2007
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