MEDICARE: DR. LAURA ANN SALYERS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	19821	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801835491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA ANN SALYERS MD

Provider Business Mailing Address
First Line	:	902 N ORANGE ST
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-2928
Country	:	US
Telephone Number	:	406-327-3362
Fax Number	:	406-327-3349

Provider Business Practice Location Address
First Line	:	902 N. ORANGE ST. 2ND FLOOR
Second Line	:	PROVIDENCE PSYCHIATRY
City	:	MISSOULA
State	:	MT
Zip	:	59802-2928
Country	:	US
Telephone Number	:	406-327-3362
Fax Number	:	406-327-3349

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	07/02/2021

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