Individual
DR. ERIC DANIEL PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
418 CHURCH ST, OTTUMWA, IA 52501-4213
(641) 814-5314
Mailing address
418 CHURCH ST, OTTUMWA, IA 52501-4213
(641) 814-5314
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006585
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279976
—
IA
01
—
34085
BLUE CROSS SHIELD
—
Enumeration date
10/04/2006
Last updated
12/10/2013
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