IndividualActive
Jacqueline Payton, MD
NPI 1750407714 · Clinical Pathology/Laboratory Medicine Physician · Saint Louis, MO
Provider details
- NPI number
- 1750407714
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2008022583 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4320 Forest Park Ave
Div PA Lab and Genomic Med, Ste 209
Saint Louis, MO 63108-2979
Phone: (314) 362-5641
Fax: (314) 362-0369
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.