CHARLES HARRIS, PA

Physician Assistant - Medical

Active Individual
NPI: 1386780237

Practice Address

982 W. BROADWAY
Jackson, WY 83002

Phone: (307) 733-8002

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes 76 (WY)
Physician Assistant - Surgical 363AS0400X No 76 (WY)

Frequently Asked Questions

NPI 1386780237 is the National Provider Identifier for CHARLES HARRIS, PA, a Physician Assistant - Medical provider located in Jackson, WY. This NPI was enumerated on January 29, 2007.
CHARLES HARRIS, PA practices at 982 W. BROADWAY, Jackson, WY 83002.

Quick Facts

NPI
1386780237
Type
Individual
Enumerated
Jan 29, 2007
Last Updated
Oct 26, 2007

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