John C Payne
Plastic and Reconstructive Surgery
555 E Broadway Ave Ste 211
Jackson
, Wyoming 83001-8640
John C Payne
Plastic and Reconstructive Surgery
555 E Broadway Ave Ste 211
Jackson
, Wyoming 83001-8640
(307) 734-0077
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- John C Payne
- Po Box 428
- Jackson, WY
- Zip : 83001-0428
- Fax : (307) 734-0077
- Phone : (307) 739-7618
Second Address
- John C Payne
- 555 E Broadway Ave Ste 211
- Jackson, WY
- Zip : 83001-8640
- Fax : (307) 734-0077
- Phone : (307) 739-7618
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 6651A | WY |
National Provider Identifier
| NPI | 1316071145 |
|---|---|
| Provider Name | John C Payne |
| First Address | Jackson, WY 83001-0428 |
| Second Address | Jackson, WY 83001-8640 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2007 |
| Last Update Date | 18/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 117561100 | (05) | WY |
| F02138 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.