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-- CHARLES F HARRIS -- PA

Individual Provider (NPI-1) Active

Physician Assistant, Medical

Provider Information

NPI Number
1386780237
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
982 W. BROADWAY, JACKSON, WY, 83002
Phone
(307) 733-8002
Fax
(307) 733-0032

Specialties & Taxonomies

Physician Assistant, Medical Primary License: WY #76
Physician Assistant, Surgical License: WY #76

All Addresses

MAILING

PO BOX 15240

JACKSON, WY, 830025240

(307) 733-8002

LOCATION

982 W. BROADWAY

JACKSON, WY, 83002

(307) 733-8002