TRAVIS NORTH, PA

Physician Assistant

Active Individual
NPI: 1821393539

Practice Address

1055 N 500 W BLDG A
Provo, UT 84604

Phone: (801) 812-5033

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X No -
Student in an Organized Health Care Education/Training Program 390200000X No 1821393539 (UT)
Physician Assistant 363A00000X Yes 8261139-1206 (UT)

Frequently Asked Questions

NPI 1821393539 is the National Provider Identifier for TRAVIS NORTH, PA, a Physician Assistant provider located in Provo, UT. This NPI was enumerated on January 11, 2011.
TRAVIS NORTH, PA practices at 1055 N 500 W BLDG A, Provo, UT 84604.

Quick Facts

NPI
1821393539
Type
Individual
Enumerated
Jan 11, 2011
Last Updated
Sep 7, 2022

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