Individual
TRAVIS LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 SUGAR CREEK RD, PIEDMONT, MO 63957-9612
(573) 233-7649
Mailing address
5 SUGAR CREEK RD, PIEDMONT, MO 63957-9612
(573) 233-7649
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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