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Individual

DR. TRAVIS BERNARD RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6000
(703) 858-6900
Mailing address
4202 HATTIES PROGRESS DRIVE, BOWIE, MD 20720
(301) 262-5723

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101238007
VA
207R00000X
Internal Medicine Physician
DD66837
MD

Other

Enumeration date
06/20/2006
Last updated
06/02/2022
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