person
Charles F Harris, PA
Surgical Physician Assistant in Jackson, Wyoming
NPI 1386780237

Charles F Harris is a Surgical Physician Assistant based in Jackson, WY and is specialized in Surgical. Charles F Harris practices in Jackson, WY and has the professional credentials of PA. The NPI Number for Charles F Harris is 1386780237 and holds a License No. 76 (Wyoming).

The current practice location address for Charles F Harris is 982 W. Broadway, Jackson, WY and can be reached out via phone at 307-733-8002 and via fax at 307-733-0032.

Location: 982 W. Broadway, Jackson, WY, 83002-5240
person
Provider Profile Details
NPI Number
1386780237
Provider Name
Charles F Harris
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
982 W. Broadway, Jackson, WY, 83002-5240
Phone Number
307-733-8002
Fax Number
307-733-0032
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
109651600 05 WY
institution
Provider Business Practice Location Address Details
Address
982 W. Broadway
City
State
Zip
83002
Phone Number
307-733-8002
Fax Number
307-733-0032
person
Provider Business Mailing Address Details
Address
982 W. Broadway
City
State
Zip
83002
Phone Number
307-733-8002
Fax Number
307-733-0032
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
76 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
76 (Wyoming)
Definition
Definition to come...
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