Individual
HOLLY GAIL PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
555 E. BROADWAY, SUITE 211, JACKSON, WY 83001
(307) 733-8070
(307) 733-8077
Mailing address
PO BOX 8729, JACKSON, WY 83002-8729
(307) 733-8070
(307) 733-8077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6948A
WY
2080N0001X
Neonatal-Perinatal Medicine Physician
6948A
WY
Other
Enumeration date
03/19/2007
Last updated
09/11/2025
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