Steven L Payne, PA
Physician Assistant in Saint Louis, MO. Individual provider (NPI-1).
NPI number1528086261
StatusActive
Last updated in NPPESJul 17, 2007
Details
- NPI
- 1528086261
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steven L Payne
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Last updated
- Jul 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 109930 | MO | Yes |
Practice location
400 S Kingshighway BlvdSaint Louis, MO 63110-1014
Phone 314-454-7900 · Fax 314-747-4876
Mailing address
Po Box 82217425 Forsyth
Saint Louis, MO 63156-8221
Phone 314-935-0770 · Fax 314-935-0575
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