Provider Demographics
NPI:1326284670
Name:PAYSON, MARGARET L
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:L
Last Name:PAYSON
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 1:209 E BASELINE RD
Mailing Address - Street 2:SUITE E-102
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1269
Mailing Address - Country:US
Mailing Address - Phone:480-284-8155
Mailing Address - Fax:866-823-2115
Practice Address - Street 1:209 E BASELINE RD
Practice Address - Street 2:SUITE E-102
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1269
Practice Address - Country:US
Practice Address - Phone:480-284-8155
Practice Address - Fax:866-823-2115
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-06825174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist