Individual
TRAVIS PAUL DEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1 WEST AVE STE 230, SARATOGA SPRINGS, NY 12866-6050
(540) 588-3909
Mailing address
1 WEST AVE STE 230, SARATOGA SPRINGS, NY 12866-6050
(540) 588-3909
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9741
INDEPENDENT DUTY CORPSMAN
VA
Enumeration date
04/22/2013
Last updated
12/15/2016
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