Individual
DR. NATHAN BRIAN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
104 MARGARET LN STE A, GRASS VALLEY, CA 95945-5261
(801) 368-0512
(530) 648-1235
Mailing address
104 MARGARET LN STE A, GRASS VALLEY, CA 95945-5261
(801) 368-0512
(530) 648-1235
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
5315078221
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5539
CA
Other
Enumeration date
03/30/2016
Last updated
11/26/2019
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