Provider Demographics
NPI:1760749428
Name:PAYNTER, CHRISTOPHER AARON (DO, MS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:AARON
Last Name:PAYNTER
Suffix:
Gender:M
Credentials:DO, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 STATE ROUTE 5
Mailing Address - Street 2:P.O. BOX 667
Mailing Address - City:TIPTON
Mailing Address - State:MO
Mailing Address - Zip Code:65081-8441
Mailing Address - Country:US
Mailing Address - Phone:660-433-5541
Mailing Address - Fax:
Practice Address - Street 1:875 STATE ROUTE 5
Practice Address - Street 2:
Practice Address - City:TIPTON
Practice Address - State:MO
Practice Address - Zip Code:65081-8441
Practice Address - Country:US
Practice Address - Phone:660-433-5541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013032876207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine