Individual
TRAVIS LEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
500 W. BROADWAY, SUITE 320, ST. PATRICK HOSPITAL, MISSOULA, MT 59802-4008
(406) 329-5615
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 543-7271
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
19246
MT
363AS0400X
Surgical Physician Assistant
C03516
MD
Other
Enumeration date
07/23/2007
Last updated
02/03/2016
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