Individual
DR. PATRICK M TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Mailing address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C7982
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072200A
—
OK
05
—
129946001
—
AR
05
—
209994201
—
MO
Enumeration date
01/30/2006
Last updated
03/30/2020
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