Individual
TRAVIS JAMES WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6724 STATE HIGHWAY 77, BENTON, MO 63736-8238
(573) 545-4200
(573) 545-4425
Mailing address
6738 STATE HIGHWAY 77, BENTON, MO 63736-8238
(573) 313-2500
(573) 313-2505
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2010034785
MO
Other
Enumeration date
10/05/2010
Last updated
03/12/2020
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