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LAYNE SANDRIDGE MD PLC NPI 1497253546


NPI Information

NPI: 1497253546
Provider Name: LAYNE SANDRIDGE MD, PLC

Doing Business As: VALLEY VASCULAR SPECIALISTS

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
18700 N 64TH DR STE 105A
GLENDALE, AZ
ZIP 85308
Phone: (623) 688-5075
Get Directions

LAYNE SANDRIDGE MD, PLC is a vascular surgery surgery in Glendale, AZ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. LAYNE SANDRIDGE MD, PLC NPI is 1497253546. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Valley Vascular Specialists.

The provider's business location address is:

18700 N 64TH DR STE 105A
GLENDALE, AZ
ZIP 85308-110
Phone: (623) 688-5075
Fax: (623) 688-5075

The provider's authorized official is Layne C. Sandridge .
The authorized official title is Physician/practice Owner and has the following contact phone number (623) 688-5075.

The enumeration date for this NPI number is 1/23/2018 and was last updated on 3/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1443661MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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