Individual
JENNIE LEE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 E EGBERT ST, BRIGHTON, CO 80601-2404
(303) 659-1531
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438
(303) 422-9474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42132
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30137519
—
CO
Enumeration date
11/14/2005
Last updated
05/28/2008
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