Individual
DR. TRAVIS JAY CANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1232 N 2560 W, CLINTON, UT 84015-2773
(801) 549-7227
Mailing address
1232 N 2560 W, CLINTON, UT 84015-2773
(801) 549-7227
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11629842-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200067468
—
MO
05
—
ENROLLED
—
IL
Enumeration date
06/26/2014
Last updated
12/23/2025
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