Individual
CHRISTINE M PAYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-6458
Mailing address
425 W BANNOCK ST, BOISE, ID 83702-6035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
058
ID
363A00000X
Physician Assistant
506
MT
363A00000X
Physician Assistant
PA10004766
WA
Other
Enumeration date
06/14/2006
Last updated
02/03/2016
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