Individual provider · Type 1 NPI
Charles F. Harris, PA
Medical Physician Assistant · Jackson, WY
NPI number
1386780237
Active
Practice location
982 W. Broadway
Jackson, WY 83002
Fax (307) 733-0032
Mailing address
PO Box 15240
Jackson, WY 83002-5240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 76 (WY) |
| Surgical Physician Assistant | 363AS0400X | 76 (WY) |
Medical Physician Assistant: Definition to come...
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- Marianne Rosenwald Boschen, PA-CMedical Physician Assistant Jackson, WY NPI 1851476402
About NPI 1386780237
Charles F. Harris, PA's National Provider Identifier is 1386780237, issued on Jan 29, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jackson, WY. The record was last updated on Oct 26, 2007.