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Individual

DR. DAMON PAYTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2175 ORLEANS LN, FLORISSANT, MO 63031-2111
(646) 623-0120
(314) 480-7162
Mailing address
2175 ORLEANS LN, FLORISSANT, MO 63031-2111
(646) 623-0120
(314) 480-7162

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
16005263
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
2006013232
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
6057
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016005293
IL
01
0732240001
DMERC # WITH PPG
05
1649200502
MO
Enumeration date
07/04/2006
Last updated
02/05/2020
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