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Individual

DR. ANTHONY MICHAEL PAYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
648 PINE AVE, PACIFIC GROVE, CA 93950-3347
(831) 373-0188
(831) 373-6979
Mailing address
648 PINE AVE, PACIFIC GROVE, CA 93950-3347
(831) 373-0188
(831) 373-6979

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC19245
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30016918
TAT
CA
01
DC0192450
BLUE SHIELD
CA
01
DC19254
BLUE CROSS
CA
01
ZZZ66746Z
BS GROUP #
CA
Enumeration date
03/05/2007
Last updated
07/08/2007
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