# JOHNNY R PAINE DO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477092377
- **Authorized official:** JOHNNY R PAINE DO (DO)
- **Authorized official phone:** (972) 533-1767

## Contact information

- **Practice address:** 15 SILVER OAK DR, SEARCY, AR 72143-4584
- **Practice address phone:** (972) 533-1767
- **Mailing address:** PO BOX 639, THIENSVILLE, WI 53092-0639
- **Mailing address phone:** (414) 247-9005
- **Mailing address fax:** (414) 247-9004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/16/2024