SAMUEL DUSTIN PAYNE

IDAHO FALLS, ID
NPI1023902533
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251B00000X Case Management
Enumeration Date2025-06-07
Last Update Date2025-06-07
Business Address
SAMUEL DUSTIN PAYNE
1820 E 17TH ST STE 330
IDAHO FALLS, ID 83404-6400
Phone number: 208-497-0685
Mailing Address
SAMUEL DUSTIN PAYNE
555 W MIKAN DR APT 12202
REXBURG, ID 83440-8056
Phone number: 208-760-5688