Individual
PAYTON ROBERT MONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
403 E GLYNN DR, PARKSTON, SD 57366-2031
(605) 505-0558
Mailing address
403 E GLYNN DR, PARKSTON, SD 57366-2031
(605) 505-0558
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
ATHLETIC TRAINING STUDENT
SD
Enumeration date
01/15/2016
Last updated
01/15/2016
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