Individual
DR. JOHN H. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3262 N WINDSONG DR BLDG 2, PRESCOTT VALLEY, AZ 86314-2255
(928) 771-4788
(928) 771-5712
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
33669
CA
208600000X
Surgery Physician
Primary
63596
AZ
208600000X
Surgery Physician
MD-7046
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000078055
HMSA BILLING NUMBER
HI
05
—
058739-01
—
HI
01
—
63596
AZ STATE LICENSE
AZ
Enumeration date
09/25/2006
Last updated
01/30/2025
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