MR. Travis Paul Waters, PA-C
NPI #1649372145 in Peterson Afb, Colorado
Provider Information
- NPI Number
- 1649372145
- Entity Type
- Individual
- Name
- MR. Travis Paul Waters, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 559 VINCENT ST
- Address 2
- STE. 102
- City
- Peterson Afb
- State
- Colorado
- ZIP Code
- 80914-1541
- Phone
- (719) 556-1131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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