Travis Holt M.D.

NPI 1932320819 - Surgery - 208600000X

NPI Details
NPI 1932320819
Gender Male
Enumeration Date 05/01/2007
Last Updated 10/12/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1505 EASTLAND DR
BLOOMINGTON IL, 61701-3534, US
Phone (309) 662-9022
Fax (309) 662-2091
Business Location
1505 EASTLAND DR
BLOOMINGTON IL, 61701-3534, US
Phone (309) 662-9022
Fax (309) 662-2091
Toxanomy
Taxonomy Code 208600000X
License State Illinois
License Number 125-046054
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According to our database, Travis Holt M.D. NPI is 1932320819, taxonomy code is 208600000X and license number is 125-046054, license state is located at Illinois. Travis Holt M.D. physically located at 1505 Eastland Dr, Bloomington IL, 61701-3534. NPI Number Travis Holt M.D. has the Individual type.

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1932320819 NPI number is provided on an as is basis without warranty of any kind. 1932320819 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Holt M.D. are for informational purposes only.