Individual
CAROL L PAYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 EDISON ST, BRUSH, CO 80723-1640
(970) 842-6262
Mailing address
2400 EDISON ST, BRUSH, CO 80723-1642
(970) 842-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
125
CO
Other
Enumeration date
04/10/2006
Last updated
02/14/2011
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