Organization
TRAVIS ENGAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL BURGON (CREDENTIALING)
(801) 701-6504
Entity
Organization
Contact information
Practice address
560 W 800 N, OREM, UT 84057-3746
(801) 225-6246
(801) 225-1525
Mailing address
560 W 800 N, OREM, UT 84057-3746
(801) 225-6246
(801) 225-1525
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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