SearchOklahomaOther Technician

Ivory Payne

NPI 1568847150 · on the registry since 2015

Practice

Address
6333 E Skelly Dr
Tulsa, OK 74135
Phone
(405) 675-0945
Organisation at this address
12&12 Inc
12 And 12 Inc
Addiction Medical Specialists Llc
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
404

Registry record

Primary taxonomy
Other Technician
247200000X
Sex
Male
Record last updated
2015-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma