Provider Demographics
NPI:1548809460
Name:DOUGLAS A LAYTON DO, PLLC
Entity type:Organization
Organization Name:DOUGLAS A LAYTON DO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:515-984-6426
Mailing Address - Street 1:1010 S 3RD ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:POLK CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50226-1165
Mailing Address - Country:US
Mailing Address - Phone:515-984-6426
Mailing Address - Fax:515-984-9628
Practice Address - Street 1:1010 S 3RD ST STE 1A
Practice Address - Street 2:
Practice Address - City:POLK CITY
Practice Address - State:IA
Practice Address - Zip Code:50226-1165
Practice Address - Country:US
Practice Address - Phone:515-984-6426
Practice Address - Fax:515-984-9628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-23
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty