TRAVIS CHARLES HEADLEY

COEUR D ALENE, ID
NPI1659484483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA406)
Enumeration Date2006-08-16
Last Update Date2023-12-05
Business Address
TRAVIS CHARLES HEADLEY PA
850 W IRONWOOD DR SUITE 202
COEUR D ALENE, ID 83814-4903
Phone number: 208-664-2175
Mailing Address
TRAVIS CHARLES HEADLEY PA
850 W IRONWOOD DR SUITE 202
COEUR D ALENE, ID 83814-4903
Phone number: 208-664-2175
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