| Doctor Name: | LAYNE CATHERINE SANDRIDGE |
| NPI Number: | 1063689909 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 3805 E Bell Rd Suite 3100 Phoenix, AZ - 850322105 |
| Business Phone Number: | 6028678644 |
| Business Fax Number: | 6027955698 |
| Mailing Address: | Po Box 98819, LAS VEGAS |
| State: | NV |
| Postal Code: | 891938819 |
| Phone Number: | 6024943659 |
| Fax Number: | 6024943682 |
| NPI Enumeration Date: | 05/09/2008 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |