Dr. Layne D. Roberts, D.O.
Family Medicine in Mountain Home, ID. Individual provider (NPI-1).
NPI number1902809205
StatusActive
Last updated in NPPESSep 27, 2012
Details
- NPI
- 1902809205
- Entity type
- Individual (NPI-1)
- Name
- Dr. Layne D. Roberts
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2005
- Last updated
- Sep 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | O-91 | ID | Yes |
Practice location
2000 American Legion BlvdMountain Home, ID 83647-3138
Phone 208-587-1500 · Fax 208-587-3180
Mailing address
2000 American Legion BlvdMountain Home, ID 83647-3138
Phone 208-587-1500 · Fax 208-587-3180
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All 12 Family Medicine Physician providers in Mountain Home · All 275 providers in Mountain Home
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