TRAVIS SAMPLES

FORT WAYNE, IN
NPI1770393415
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IN  10004770A)
Enumeration Date2025-01-13
Last Update Date2026-03-27
Business Address
TRAVIS SAMPLES PA-C
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-482-5091
Mailing Address
TRAVIS SAMPLES PA-C
608 UNION CHAPEL RD
FORT WAYNE, IN 46845-9357
Phone number: 734-807-1260
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