Individual
TRAVIS CRIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-2201
Mailing address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030225
IL
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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