Individual
DR. MICHAEL PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36526
KS
2085R0202X
Diagnostic Radiology Physician
24989
NE
2085R0202X
Diagnostic Radiology Physician
Primary
41349
CO
2085R0202X
Diagnostic Radiology Physician
MD17526
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025709000
—
NE
05
—
1043254220
—
CA
05
—
1043254220
—
IA
05
—
1043254220
—
WA
05
—
1043254220
—
WY
05
—
1043254220/7726540
—
SD
05
—
104686300
—
MI
05
—
200125805
—
MO
05
—
200258680A
—
OK
05
—
200335510A
—
KS
05
—
22123270
—
NM
05
—
317571301
—
TX
05
—
48374369
—
CO
05
—
7617658
—
NC
05
—
807445800
—
ID
05
—
84-059792913
—
NE
05
—
927254
—
AZ
05
—
99112260
—
WI
Enumeration date
06/16/2006
Last updated
03/29/2024
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