Individual
CRYSTAL ROLLO TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-4206
(205) 975-5962
Mailing address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-4206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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