Travis J Weiszhaar P.A.-C.

NPI 1962585752 - Physician Assistant - 363A00000X

NPI Details
NPI 1962585752
Gender Male
Enumeration Date 10/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 PROFESSIONAL PLZ
REXBURG ID, 83440-2024, US
Phone (208) 356-9231
Fax (208) 356-9141
Business Location
1 PROFESSIONAL PLZ
REXBURG ID, 83440-2024, US
Phone (208) 356-9231
Fax (208) 356-9141
Toxanomy
Taxonomy Code 363A00000X
License State Idaho
License Number PA264
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According to our database, Travis J Weiszhaar P.A.-C. NPI is 1962585752, taxonomy code is 363A00000X and license number is PA264, license state is located at Idaho. Travis J Weiszhaar P.A.-C. physically located at 1 Professional Plz, Rexburg ID, 83440-2024. NPI Number Travis J Weiszhaar P.A.-C. has the Individual type.

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1962585752 NPI number is provided on an as is basis without warranty of any kind. 1962585752 is maintained by the National Plan & Provider Enumeration System. The contents of Travis J Weiszhaar P.A.-C. are for informational purposes only.