Organization
MICHAEL D PAYNE MD PLLC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D PAYNE II M.D. (OWNER)
(870) 352-3151
Entity
Organization
Contact information
Practice address
200 N CLIFTON ST, FORDYCE, AR 71742-3027
(870) 352-3151
(870) 352-8497
Mailing address
200 N CLIFTON ST, FORDYCE, AR 71742-3027
(870) 352-3151
(870) 352-8497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3409
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149271001
—
AR
Enumeration date
07/24/2007
Last updated
05/03/2011
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