Adam John Payne PA-C

NPI 1417279035 - Physician Assistant - 363A00000X

NPI Details
NPI 1417279035
Gender Male
Enumeration Date 02/23/2010
Last Updated 01/20/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
126 GLASSON WAY
GRASS VALLEY CA, 95945-5706, US
Phone (530) 272-2303
Fax (530) 272-9648
Business Location
126 GLASSON WAY
GRASS VALLEY CA, 95945-5706, US
Phone (530) 272-2303
Fax (530) 272-9648
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA20851
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According to our database, Mr. Adam John Payne PA-C NPI is 1417279035, taxonomy code is 363A00000X and license number is PA20851, license state is located at California. Adam John Payne PA-C physically located at 126 Glasson Way, Grass Valley CA, 95945-5706. NPI Number Adam John Payne PA-C has the Individual type.

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1417279035 NPI number is provided on an as is basis without warranty of any kind. 1417279035 is maintained by the National Plan & Provider Enumeration System. The contents of Adam John Payne PA-C are for informational purposes only.