Individual
KATIE SUE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 587-1060
(719) 587-1525
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 587-1060
(719) 587-1525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0069012
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69012
LICENSE NUMBER
CO
Enumeration date
04/12/2019
Last updated
07/26/2024
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