Samuel Dustin Payne
Samuel Dustin Payne is a Case Management Agency in Idaho Falls, Idaho. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1820 E 17th St Ste 330Idaho Falls, ID 83404-6400
Phone: (208) 497-0685
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Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
|---|
Record details
| NPI number | 1023902533 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 7, 2025 |
| Last updated in NPPES | June 7, 2025 |
| Certification date | June 6, 2025 |
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