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Individual

BRYAN R. PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(304) 399-2889
(304) 399-2881
Mailing address
1305 ELM ST E, HUNTINGTON, WV 25701-3861
(304) 399-2889
(304) 399-2881

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
10052R
LA
207T00000X
Neurological Surgery Physician
Primary
22744
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1492493
LA
05
3810009223
WV
Enumeration date
07/09/2006
Last updated
07/06/2012
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