| Mr Travis Paul Waters, PA-C | |
|
559 Vincent St, Ste. 102, Peterson Afb, CO 80914-1541 | |
| (719) 556-1131 | |
| (719) 556-1129 |
| Full Name | Mr Travis Paul Waters |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 559 Vincent St, Peterson Afb, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649372145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1722 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Travis Paul Waters, PA-C 35 Tanner Pkwy, Canon City, CO 81212-9418 Ph: (719) 276-0967 | Mr Travis Paul Waters, PA-C 559 Vincent St, Ste. 102, Peterson Afb, CO 80914-1541 Ph: (719) 556-1131 |
Cheryl Elaine Gregorio, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St., Peterson Afb, CO 80914 Phone: 719-556-1060 Fax: 719-556-9677 | |
Sergio Perez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Peterson Afb, CO 80914 Phone: 719-556-1060 Fax: 719-556-9677 | |
Nicholas Bialobos, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21st Mdg 559 Vincent Street, Peterson Afb, CO 80914 Phone: 719-556-5898 | |
Kelsiann Goyne, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Peterson Afb, CO 80914 Phone: 719-556-7484 |