JOHNNY PHILLIP PAYNE

MEDFORD, OR
NPI1962638452
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  201250098NP)
Enumeration Date2009-06-10
Last Update Date2024-03-04
Business Address
Mr. JOHNNY PHILLIP PAYNE FNP DNP
2655 SISKIYOU BLVD
MEDFORD, OR 97504-8125
Phone number: 541-304-8008
Mailing Address
Mr. JOHNNY PHILLIP PAYNE FNP DNP
2655 SISKIYOU BLVD
MEDFORD, OR 97504-8125
Phone number: 541-304-8008