NPI 1801316716 · live from the CMS NPI Registry
Travis Booke, PA-C
Physician Assistant in Dickinson, ND. National Provider Identifier 1801316716, active.
NPI record
| NPI | 1801316716 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2500 Fairway St, Dickinson, ND 58601 |
| Practice phone | 701-456-4000 |
| Mailing address | 2500 Fairway Street, Dickinson, ND 58601 |
| Enumerated | June 21, 2017 |
| Last updated | August 1, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.