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Organization

JOHNNY R PAINE DO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNNY R PAINE DO (DO)
(972) 533-1767
Entity
Organization

Contact information

Practice address
15 SILVER OAK DR, SEARCY, AR 72143-4584
(972) 533-1767
Mailing address
PO BOX 639, THIENSVILLE, WI 53092-0639
(414) 247-9005
(414) 247-9004

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
02/13/2017
Last updated
02/16/2024
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