Individual
MRS. AMBER RAE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
205 S MAIN ST, STE. B, LONGMONT, CO 80501-1716
(303) 772-6624
Mailing address
617 BREWER DR, FORT COLLINS, CO 80524-5307
(303) 946-6805
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2011
CO
Other
Enumeration date
07/19/2006
Last updated
06/30/2010
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