NPI 1043294572
Ted B. Laine, MD
Practice location
- Address
- 2825 Fort Missoula Rd STE 201, Missoula, MT 59804-7420
- Phone
- (406) 721-5566
- Fax
- (406) 728-1868
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1043294572
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Nov 2005
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.