Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS MICHAEL LARSON
ActiveMedical Physician Assistant · ALGONA, IA
Registration Details
- NPI Number
- 1710517651
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2020 (6.2516476462404 yrs)
- Last Updated
- Feb 17, 2021
- License
-
099501 (IA)
Practice Information
- Address
-
1519 S PHILLIPS STALGONA, IA, 505113649Browse IA providers · Browse ZIP 50511
- Phone
- 5152952451
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in ALGONA, IA
| Name | Credential | NPI |
|---|---|---|
| MR. MARK G DAVIS | PA | 1760561963 |
| MRS. KIMBERLY ELIZABETH ETHERINGTON | PA | 1265511489 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.