Individual
DR. JAMES RICHARD PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1334 NELSON AVE, MODESTO, CA 95350-5341
(209) 524-9904
(209) 524-4101
Mailing address
4301 N STAR WAY, MODESTO, CA 95356-9262
(209) 345-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G45465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467477133
—
CA
Enumeration date
07/13/2006
Last updated
07/22/2009
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