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Individual
DR. PHILIP STANLEY TRAVIS
Active
Individual
DR. PHILIP STANLEY TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15173
AL
207RN0300X
Nephrology Physician
Primary
15173
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000082241
—
AL
01
—
51082241
BCBS
AL
Enumeration date
12/14/2005
Last updated
07/17/2018
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