Individual
AMBER L PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W 5TH ST, JOPLIN, MO 64801-2598
(417) 782-7300
Mailing address
214 W 5TH ST, JOPLIN, MO 64801-2598
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20100022371
MO
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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