Individual
DR. TRAVIS W WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8110 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-5116
(804) 320-8160
Mailing address
6913 W GRACE ST, RICHMOND, VA 23226-3540
(804) 516-1764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101052682
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295993376
—
AZ
05
—
1629236716
—
AZ
05
—
1871523191
—
AZ
Enumeration date
04/10/2007
Last updated
04/24/2023
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