NPI 1932313608

Layne C Martin, ROT

Practitioner Surgical Technologist Burley, ID

Practice location

Address: 1263 Bennett Ave STE 1, Burley, ID 83318-2666
Phone: (208) 678-9760
Mailing address: 563 W 1700 S, Oakley, ID 83346-9747

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 05070617 (ID)

Other Specialist/Technologist, Other providers in Idaho →

Registry record

NPI: 1932313608
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2007
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.