Individual
DR. ROBERT PAYNE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3557 EMBASSY PKWY, FAIRLAWN, OH 44333-8358
(330) 670-1005
Mailing address
5024 LAKE FOREST DR, PENINSULA, OH 44264-9584
(614) 603-3726
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
452066
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
143038
OH
390200000X
Student in an Organized Health Care Education/Training Program
143038
OH
Other
Enumeration date
02/10/2023
Last updated
05/22/2023
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