Individual
HARRY H PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
920 RUSH DR, SALIDA, CO 81201-9669
(719) 539-9300
(719) 539-9333
Mailing address
920 RUSH DR, SALIDA, CO 81201-9669
(719) 539-9300
(719) 539-9333
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
DR.0048772
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002298
ANTHEM
ME
01
—
1044199
AETNA
ME
01
—
AX5099
MEDICARE PTAN GRP 152556
ME
01
—
E16975
HARVARD PILGRIM
ME
01
—
HX1692
MEDICARE PTAN GRP MM8648
ME
Enumeration date
10/12/2005
Last updated
08/22/2017
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