Individual
DR. RYAN M PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
222 W IOWA AVE STE 200, NAMPA, ID 83686-6814
(208) 467-3191
Mailing address
3327 S POMPEI AVE, MERIDIAN, ID 83642-5069
(208) 855-5079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4009
ID
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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