Individual
JEREMY MICHAEL PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 S KLEIN AVE, OKLAHOMA CITY, OK 73139-1539
(405) 590-7448
Mailing address
6800 S KLEIN AVE, OKLAHOMA CITY, OK 73139-1539
(405) 590-7448
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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