Theresa A. Travis,m.d.,pc

NPI 1265634711 - Internal Medicine - 207RN0300X

NPI Details
NPI 1265634711
Enumeration Date 06/05/2007
Last Updated 04/08/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THERESA ANN THERESA
Position M.D.
Phone (812) 275-3328
Fax (812) 279-5977
Practice Location
2516 Q ST
SUITE B
BEDFORD IN, 47421-4928, US
Phone (812) 275-3328
Fax (812) 279-5977
Business Location
2516 Q ST
SUITE B
BEDFORD IN, 47421-4928, US
Phone (812) 275-3328
Fax (812) 279-5977
Toxanomy
Taxonomy Code 207RN0300X
License State Indiana
License Number 01036752A
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According to our database, Theresa A. Travis,m.d.,pc NPI is 1265634711, taxonomy code is 207RN0300X and license number is 01036752A, license state is located at Indiana. Theresa A. Travis,m.d.,pc physically located at 2516 Q St, Bedford IN, 47421-4928. NPI Number 1033115704 has the healthcare provider type.

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1265634711 NPI number is provided on an as is basis without warranty of any kind. 1265634711 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa A. Travis,m.d.,pc are for informational purposes only.