Individual
MICHAEL DAVIS PAYNE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2630 E CITIZENS DR STE 3, FAYETTEVILLE, AR 72703-4797
(479) 527-9966
(479) 527-9677
Mailing address
2630 E CITIZENS DR, STE 3, FAYETTEVILLE, AR 72703-4797
(870) 352-3151
(870) 352-8497
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-3409
AR
207Q00000X
Family Medicine Physician
Primary
E3409
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149271001
—
AR
Enumeration date
04/27/2006
Last updated
12/09/2019
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