Travis Waters, PA-C

NPI 1649372145 · on the registry since 2006 · sole proprietor

Practice

Address: 559 Vincent St
Ste. 102
Peterson Afb, CO 80914
Phone: (719) 556-1131
Fax: (719) 556-1129
Organisation at this address: 21st Medical Group
21st Medgrp-Peterson
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 77

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado