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Individual

RYAN PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 636-0200
(479) 986-3448
Mailing address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 636-0200
(479) 986-3448

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A006156
AR

Other

Enumeration date
02/19/2019
Last updated
05/28/2019
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