Travis D Richardson, Do, Pllc

NPI 1265614309 - Orthopaedic Surgery - 207XS0117X

NPI Details
NPI 1265614309
Enumeration Date 11/30/2007
Last Updated 11/30/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TRAVIS DALE TRAVIS
Position PRESIDENT
Phone (870) 424-4507
Fax (870) 425-4546
Practice Location
555 W 6TH ST
MOUNTAIN HOME AR, 72653-3409, US
Phone (870) 424-4507
Fax (870) 425-4546
Business Location
PO BOX 1677
MOUNTAIN HOME AR, 72654-1677, US
Phone (870) 424-4507
Fax (870) 425-4546
Toxanomy
Taxonomy Code 207XS0117X
License State Arkansas
License Number E4201
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According to our database, Travis D Richardson, Do, Pllc NPI is 1265614309, taxonomy code is 207XS0117X and license number is E4201, license state is located at Arkansas. Travis D Richardson, Do, Pllc physically located at 555 W 6th St, Mountain Home AR, 72653-3409. NPI Number 1033115704 has the healthcare provider type.

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1265614309 NPI number is provided on an as is basis without warranty of any kind. 1265614309 is maintained by the National Plan & Provider Enumeration System. The contents of Travis D Richardson, Do, Pllc are for informational purposes only.