Individual
RONALD J PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.O.
Contact information
Practice address
1726 NORTH 1850 EAST, NORTH LOGAN, UT 84341
(435) 753-4971
Mailing address
1726 NORTH 1850 EAST, NORTH LOGAN, UT 84341
(435) 753-4971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
158936-1205
UT
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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