Individual
BRETT SAIZAN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
832 DONEGAN RD, C, GLENWOOD SPRINGS, CO 81601-2778
(970) 379-5161
Mailing address
3025 COAL MINE AVE, 12E, RIFLE, CO 81650-3923
(970) 379-5161
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34534776
—
CO
Enumeration date
09/26/2016
Last updated
09/26/2016
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