Ryan Steven Payne

NPI #1073999777 in Fort Irwin, California

Provider Information

NPI Number: 1073999777
Entity Type: Individual
Name: Ryan Steven Payne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Aug 4, 2015
Last Updated: Jul 3, 2023

Practice Location

Address: 4TH & INNER LOOP ROAD
Address 2: BLDG 171
City: Fort Irwin
State: California
ZIP Code: 92310
Phone: (719) 526-5537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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