NPI 1023902533

Samuel Dustin Payne

Practitioner Case Management Agency Idaho Falls, ID

Practice location

Address: 1820 E 17th St STE 330, Idaho Falls, ID 83404-6400
Phone: (208) 497-0685
Mailing address: 555 W Mikan Dr APT 12202, Rexburg, ID 83440-8056

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Idaho →

Registry record

NPI: 1023902533
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2025
Record last updated: 7 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.