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Timothy Payne, PA
Medical Physician Assistant in Grandview, Washington
NPI 1558457754

Timothy Payne is a Medical Physician Assistant based in Toppenish, WA and is specialized in Medical. Timothy Payne practices in Grandview, WA and has the professional credentials of PA. The NPI Number for Timothy Payne is 1558457754 and holds a License No. PA10000956 (Washington).

The current practice location address for Timothy Payne is 1000 Wallace Way, Grandview, WA and can be reached out via phone at 509-882-3444 and via fax at 509-882-2049.

Location: 1000 Wallace Way, Grandview, WA, 98948-0190
person
Provider Profile Details
NPI Number
1558457754
Provider Name
Timothy Payne
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1000 Wallace Way, Grandview, WA, 98948-0190
Phone Number
509-882-3444
Fax Number
509-882-2049
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8401655 05 WA
127586 01 WA L & I
9022 01 GROUP HEALTH
PA6393 01 REGENCE
8401655 01 WA CHPW
institution
Provider Business Practice Location Address Details
Address
1000 Wallace Way
City
State
Zip
98930-8805
Phone Number
509-882-3444
Fax Number
509-882-2049
person
Provider Business Mailing Address Details
Address
1000 Wallace Way
City
State
Zip
98930-8805
Phone Number
509-882-3444
Fax Number
509-882-2049
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10000956 (Washington)
Definition
Definition to come...
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