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Individual
TRAVIS FAWVER
Active
Individual
TRAVIS FAWVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1710
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3319552
—
TN
01
—
4113345
BCBS OF TN
TN
01
—
P00310644
RAILROAD MEDICARE
TN
Enumeration date
06/04/2006
Last updated
11/06/2007
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