Individual
MR. TRAVIS JOHN NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5080 INDIANA ST, GOLDEN, CO 80403-1744
(303) 667-8929
(303) 656-2098
Mailing address
5080 INDIANA ST, GOLDEN, CO 80403-1744
(303) 667-8929
(303) 656-2098
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2863
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00820059
—
CO
Enumeration date
10/02/2009
Last updated
04/21/2025
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