person
John C Payne, DO
Plastic and Reconstructive Surgery Physician in Jackson, Wyoming
NPI 1316071145

John C Payne is a Plastic and Reconstructive Surgery Physician based in Jackson, WY and is specialized in Plastic and Reconstructive Surgery. John C Payne practices in Jackson, WY and has the professional credentials of DO. The NPI Number for John C Payne is 1316071145 and holds a License No. 6651A (Wyoming).

The current practice location address for John C Payne is 555 E Broadway Ave Ste 211, Jackson, WY and can be reached out via phone at 307-739-7618 and via fax at 307-734-0077. You can also correspond with John C Payne through the mailing address at PO BOX 428, JACKSON, WY - 83001-0428 (mailing address contact number: 307-739-7618).

Location: 555 E Broadway Ave Ste 211, Jackson, WY, 83001-0428
person
Provider Profile Details
NPI Number
1316071145
Provider Name
John C Payne
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
555 E Broadway Ave Ste 211, Jackson, WY, 83001-0428
Phone Number
307-739-7618
Fax Number
307-734-0077
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
117561100 05 WY
institution
Provider Business Practice Location Address Details
Address
555 E Broadway Ave Ste 211
City
State
Zip
83001-8640
Phone Number
307-739-7618
Fax Number
307-734-0077
person
Provider Business Mailing Address Details
Address
Po Box 428
City
State
Zip
83001-0428
Phone Number
307-739-7618
Fax Number
307-734-0077
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
6651A (Wyoming)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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