Organization
DALE L PAYNE, MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE PAYNE MD (PHYSICIAN)
(480) 649-3774
Entity
Organization
Contact information
Practice address
1500 S DOBSON RD, MESA, AZ 85202-4713
(480) 505-3637
Mailing address
108 W UNIVERSITY DR, MESA, AZ 85201-5818
(480) 649-3774
(480) 649-3685
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28085
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
492934
AHCCCS
AZ
Enumeration date
03/29/2010
Last updated
05/06/2010
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