Individual
BRANDON PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 W MARKHAM ST # 512-19A, LITTLE ROCK, AR 72205-7101
(501) 364-1874
Mailing address
2665 E DEERPATH DR, FAYETTEVILLE, AR 72701-4604
(870) 250-0924
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/21/2022
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