Provider Demographics
NPI:1235825431
Name:ALLRED, PAYTON JEAN
Entity Type:Individual
Prefix:
First Name:PAYTON
Middle Name:JEAN
Last Name:ALLRED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2238 E 3970 S
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-5149
Mailing Address - Country:US
Mailing Address - Phone:435-253-2593
Mailing Address - Fax:
Practice Address - Street 1:2238 E 3970 S
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-5149
Practice Address - Country:US
Practice Address - Phone:435-253-2593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program