Samuel Dustin Payne

NPI #1023902533 in Idaho Falls, Idaho

Provider Information

NPI Number: 1023902533
Entity Type: Individual
Name: Samuel Dustin Payne
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Jun 7, 2025
Last Updated: Jun 7, 2025

Practice Location

Address: 1820 E 17TH ST STE 330
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6400
Phone: (208) 497-0685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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