NPI 1316071145

John C Payne, DO

Practitioner Plastic and Reconstructive Surgery Physician Jackson, WY

Practice location

Address: 555 E Broadway Ave STE 211, Jackson, WY 83001-8640
Phone: (307) 739-7618
Fax: (307) 734-0077
Mailing address: PO Box 428, Jackson, WY 83001-0428

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 6651A (WY)

Other Surgery providers in Wyoming →

Registry record

NPI: 1316071145
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2007
Record last updated: 18 Jan 2021

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.