Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 12279 | AZ |
N | 207PE0004X | Emergency Medical Services | 12279 | AZ |
NPI | 1184687121 |
---|---|
Provider Name | Delmar Kent Layton |
First Address | Phoenix, AZ 85082-4568 |
Second Address | Apache Junction, AZ 85120-7305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 04/12/2015 |