Individual provider · Type 1 NPI

Ted B. Laine, MD

Specialist · Missoula, MT

NPI number 1043294572 Active

Practice location

2825 Fort Missoula Rd, Ste 201
Missoula, MT 59804-7420

Fax (406) 728-1868

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4247 (MT)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1043294572

Ted B. Laine, MD's National Provider Identifier is 1043294572, issued on Nov 29, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Missoula, MT. The record was last updated on Jul 8, 2007.