Individual
EMILY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
661 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-8524
(801) 302-2690
Mailing address
PO BOX 401, CASTLE DALE, UT 84513-0401
(435) 609-1371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12445634-1206
UT
Other
Enumeration date
08/10/2021
Last updated
10/13/2021
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