Travis Michael Tirk MMS, PA-C, ATC, M ED

NPI 1285852962 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1285852962
Gender Male
Enumeration Date 04/20/2007
Last Updated 03/20/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
914 N SCOTTSDALE RD
STE 104
TEMPE AZ, 85281-2116, US
Phone (480) 557-0241
Fax
Business Location
941 N ADAMS CT
CHANDLER AZ, 85225-9003, US
Phone (509) 863-6241
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State
License Number
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According to our database, Mr. Travis Michael Tirk MMS, PA-C, ATC, M ED NPI is 1285852962, taxonomy code is 2255A2300X Travis Michael Tirk MMS, PA-C, ATC, M ED physically located at 914 N Scottsdale Rd, Tempe AZ, 85281-2116. NPI Number Travis Michael Tirk MMS, PA-C, ATC, M ED has the Individual type.

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1285852962 NPI number is provided on an as is basis without warranty of any kind. 1285852962 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Michael Tirk MMS, PA-C, ATC, M ED are for informational purposes only.