CHARLES LEE PAYNE

JACKSON, WY
NPI1548234016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: CO  40735)
Enumeration Date2006-02-14
Last Update Date2007-08-29
Business Address
-- CHARLES LEE PAYNE MD
970 W BROADWAY # 378
JACKSON, WY 83001-9475
Phone number: 307-734-6956
Mailing Address
-- CHARLES LEE PAYNE MD
970 W BROADWAY # 378
JACKSON, WY 83001-9475
Phone number:
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