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Individual
MR. TRAVIS S CARTER
Active
Individual
MR. TRAVIS S CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106152
—
WA
01
—
125685
LI
WA
01
—
480027205
RR MEDICARE
—
Enumeration date
12/08/2006
Last updated
01/19/2018
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