Individual
DR. ROBERT H PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
6767
SC
2084P0800X
Psychiatry Physician
Primary
6767
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067670
—
SC
01
—
P00443329
RR MEDICARE
SC
Enumeration date
01/19/2007
Last updated
10/17/2017
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