Individual
TRAVIS A RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 RONALD REAGAN PKWY STE 1400, AVON, IN 46123-7085
(317) 217-2777
(317) 217-2775
Mailing address
1111 RONALD REAGAN PKWY STE C1400, AVON, IN 46123-7085
(317) 217-2777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01049572
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200525560
—
IN
Enumeration date
10/02/2006
Last updated
03/29/2021
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