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Individual
TRAVIS DANIEL GORDON
Active
Individual
TRAVIS DANIEL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
2025027678
MO
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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