Individual
MIKE L PAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.R.T.
Contact information
Practice address
5686 VILLAGE WAY, OGDEN, UT 84403-4969
(801) 475-4184
Mailing address
5686 VILLAGE WAY, OGDEN, UT 84403-4969
(801) 475-4184
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
112689-5701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112689-5701
UTAH DOPL
UT
Enumeration date
03/21/2008
Last updated
03/21/2008
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