Individual
DR. TRAVIS J. CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
711 SAMUEL LN, CHEYENNE, WY 82009-4434
(307) 399-0881
Mailing address
711 SAMUEL LN, CHEYENNE, WY 82009-4434
(307) 399-0881
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
3122
WY
Other
Enumeration date
07/25/2006
Last updated
05/11/2017
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