Individual provider · Type 1 NPI
John C. Payne, DO
Plastic and Reconstructive Surgery Physician · Jackson, WY
NPI number
1316071145
Active
Practice location
555 E Broadway Ave Ste 211
Jackson, WY 83001-8640
Fax (307) 734-0077
Mailing address
PO Box 428
Jackson, WY 83001-0428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 6651A (WY) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
2 other providers at this address
About NPI 1316071145
John C. Payne, DO's National Provider Identifier is 1316071145, issued on Mar 15, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Jackson, WY. The record was last updated on Jan 18, 2021.