Whalio Doctors

NPI 1043294572

Ted B. Laine, MD

Practitioner Specialist Missoula, MT

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
Other Service Providers Taxonomy 174400000X Licence 4247 (MT)

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.