# TRAVIS JAMES MERRITT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780177857
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | R-11334 | IA | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | MD-52892 | IA | Yes |

## Other

- **Enumeration date:** 06/12/2018
- **Last updated:** 05/20/2024