Travis M. King CRNA

NPI 1982714713 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1982714713
Gender Male
Enumeration Date 08/30/2006
Last Updated 01/03/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
353 FAIRMONT BLVD.
RAPID CITY SD, 57701, US
Phone (605) 719-1000
Fax
Business Location
353 FAIRMONT BLVD
ATTEN MEDICAL STAFF SERVICES
RAPID CITY SD, 57701-6000, US
Phone
Fax
Toxanomy
Taxonomy Code 367500000X
License State South Dakota
License Number R030147
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According to our database, Travis M. King CRNA NPI is 1982714713, taxonomy code is 367500000X and license number is R030147, license state is located at South Dakota. Travis M. King CRNA physically located at 353 Fairmont Blvd., Rapid City SD, 57701. NPI Number Travis M. King CRNA has the Individual type.

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1982714713 NPI number is provided on an as is basis without warranty of any kind. 1982714713 is maintained by the National Plan & Provider Enumeration System. The contents of Travis M. King CRNA are for informational purposes only.