Provider Demographics
NPI:1477224608
Name:PFEIFER, TRAS STEVEN (PA-C, MPAS)
Entity Type:Individual
Prefix:
First Name:TRAS
Middle Name:STEVEN
Last Name:PFEIFER
Suffix:
Gender:M
Credentials:PA-C, MPAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11534 N HIGHWAY 309
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:AR
Mailing Address - Zip Code:72842-8956
Mailing Address - Country:US
Mailing Address - Phone:479-622-1041
Mailing Address - Fax:
Practice Address - Street 1:8195 HIGHWAY 789
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-2942
Practice Address - Country:US
Practice Address - Phone:307-332-1551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical