Laurence Vernon Ayres, MD
Individual provider Active NPI Anesthesiology Physician · Missoula, MT
NPI 1619002672 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619002672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 5030 (MT)
- Practice address
- 1605 Snow Bowl Rd
Missoula, MT 59808-9350 - Phone
- (406) 549-8757
- Fax
- (406) 549-0263
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5030 | MT | Yes |
Addresses
Primary practice location
1605 Snow Bowl Rd
Missoula, MT 59808-9350
Mailing address
1605 Snowbowl Road
Missoula, MT 59808
Phone (406) 549-8757
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000074321 | Medicaid | MT |
Other providers in Missoula, MT
- Ava Health LLC
- Crystal L Averill
- Virginia Avery
- Danielle Lynn Axe
- Axis Physical Therapy
- Francesca F Aytes
- Kary L Aytes
- Rene Azpeitia
- Loree Michelle Baasch
- Drew Anthony Babcock
All providers in Missoula, MT · Anesthesiology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.