Breanna Marie Payne

NPI #1588202949 in Durango, Colorado

Provider Information

NPI Number: 1588202949
Entity Type: Individual
Name: Breanna Marie Payne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 17, 2019
Last Updated: Dec 17, 2019

Practice Location

Address: 373 HORSE THIEF LN
City: Durango
State: Colorado
ZIP Code: 81301-3106
Phone: (970) 759-1669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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