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Individual

DR. MATTHEW SCOTT PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
3200 CHANNING WAY STE 304, IDAHO FALLS, ID 83404-7546
(208) 535-4580
(208) 535-4520
Mailing address
PO BOX 742337, ATLANTA, GA 30374-2337

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
000597
AZ
207Q00000X
Family Medicine Physician
Primary
MR-1068
ID

Other

Enumeration date
06/23/2009
Last updated
01/27/2022
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