Individual
RUTH ANN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W SPRUCE ST, SUITE E, MISSOULA, MT 59802-4047
(406) 728-0044
(406) 728-0494
Mailing address
601 W SPRUCE ST, SUITE E, MISSOULA, MT 59802-4047
(406) 728-0044
(406) 728-0494
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0550409
—
MT
Enumeration date
06/30/2008
Last updated
01/13/2009
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