Travis Michael Tirk in Gilbert - Physician Assistant
Travis Michael Tirk - NPI 1285852962
Travis Michael Tirk is a Physician Assistant in Gilbert, Arizona. Travis Michael Tirk practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Travis Michael Tirk is 1285852962. The last update date is 2022-07-29.
Travis Michael Tirk's current location address is 1675 E Melrose St Ste 101-103, Gilbert, Arizona. You can contact this provider via phone number 6026485444 and fax number 6027723801. The mailing address for Travis Michael Tirk is 1675 E Melrose St Ste 101-103, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis Michael Tirk |
|---|---|
| Address | 1675 E Melrose St Ste 101-103, Gilbert, Arizona |
| Phone Number | 6026485444 |
| Fax Number | 6027723801 |
| Sole Proprietor | N |
| Credentials | MMS, PA-C, |
NPI Number Detail
| NPI Number | 1285852962 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2022-07-29 |
Provider Mailing Address Detail
| Address | 1675 E Melrose St Ste 101-103 |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852971001 |
| Phone Number | 6026485444 |
| Fax Number | 6027723801 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5008 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Travis Michael Tirk by the Centers for Medicare & Medicaid Services?
The Travis Michael Tirk has been assigned the NPI (National Provider Identifier) 1285852962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Travis Michael Tirk's facilities are geographically located?
The facilities of Travis Michael Tirk are physically situated at the following location: 1675 E Melrose St Ste 101-103, Gilbert, AZ, 852971001.
What is the Travis Michael Tirk's specialty and taxonomy code?
The Travis Michael Tirk's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Travis Michael Tirk receive the assignment of its 1285852962 from the Centers for Medicare & Medicaid Services?
The Travis Michael Tirk was issued its 1285852962 by the Centers for Medicare & Medicaid Services on 2007-04-20.
As of what date were the Travis Michael Tirk's details last updated?
The information pertaining to the Travis Michael Tirk, including its address, specialty, and other details, was most recently updated on 2022-07-29.
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