Individual
MR. TRAVIS ARLEN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3067 EAGLE DR, AMMON, ID 83406-1273
(208) 522-4600
(208) 552-7521
Mailing address
3067 EAGLE DR, AMMON, ID 83406-1273
(208) 522-4600
(208) 552-7521
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
11/19/2020
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