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Individual
JOHN RICHARD PAYNE
Active
Individual
JOHN RICHARD PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00008816
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002934
—
AL
01
—
051002934
BLUE SHIELD
AL
Enumeration date
10/19/2005
Last updated
12/15/2009
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