-- CHARLES LEE PAYNE -- MD
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1548234016- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 970 W BROADWAY # 378, JACKSON, WY, 830019475
- Phone
- (307) 734-6956
Specialties & Taxonomies
Anesthesiology
Primary License: CO #40735
All Addresses
MAILING
970 W BROADWAY # 378
JACKSON, WY, 830019475