Individual
DR. HENRY TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 S CLIFF AVE, SUITE 700, SIOUX FALLS, SD 57105-1019
(605) 322-7200
(605) 322-7222
Mailing address
1301 S CLIFF AVE, SUITE 700, SIOUX FALLS, SD 57105-1019
(605) 322-7200
(605) 322-7222
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
101022782
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
18482
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
20077
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
23096
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2710
SD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
47381
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399365500
MEDICAID
MN
Enumeration date
07/14/2005
Last updated
02/25/2013
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