Individual
TRAVIS J SLABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
220 S CLIFF AVE STE 120, HARRISBURG, SD 57032-2117
(605) 213-8000
(605) 213-8005
Mailing address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 504-5400
(605) 504-5150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0541
SD
363AM0700X
Medical Physician Assistant
Primary
0541
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6824970
—
SD
Enumeration date
06/30/2005
Last updated
04/19/2022
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