Travis Winsor M D Incorporated

NPI 1235444357 - Nuclear Medicine - 207U00000X

NPI Details
NPI 1235444357
Enumeration Date 08/12/2010
Last Updated 08/16/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DAVID WILEY DAVID
Position PRESIDENT
Phone (213) 484-7248
Fax (213) 484-7444
Practice Location
2131 W 3RD ST
ST. VINCENT MEDICAL CENTER DEPT. OF NUCLEAR MEDICINE
LOS ANGELES CA, 90057-1901, US
Phone (213) 484-7248
Fax (213) 484-7444
Business Location
2131 W 3RD ST
ST. VINCENT MEDICAL CENTER DEPT. OF NUCLEAR MEDICINE
LOS ANGELES CA, 90057-1901, US
Phone (213) 484-7248
Fax (213) 484-7444
Toxanomy
Taxonomy Code 207U00000X
License State California
License Number G15320
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According to our database, Travis Winsor M D Incorporated NPI is 1235444357, taxonomy code is 207U00000X and license number is G15320, license state is located at California. Travis Winsor M D Incorporated physically located at 2131 W 3rd St, Los Angeles CA, 90057-1901. NPI Number 1033115704 has the healthcare provider type.

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1235444357 NPI number is provided on an as is basis without warranty of any kind. 1235444357 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Winsor M D Incorporated are for informational purposes only.