Organization
TRAVIS WINSOR M D INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILEY WINSOR M.D. (PRESIDENT)
(213) 484-7248
Entity
Organization
Contact information
Practice address
2131 W 3RD ST, ST. VINCENT MEDICAL CENTER DEPT. OF NUCLEAR MEDICINE, LOS ANGELES, CA 90057-1901
(213) 484-7248
(213) 484-7444
Mailing address
2131 W 3RD ST, ST. VINCENT MEDICAL CENTER DEPT. OF NUCLEAR MEDICINE, LOS ANGELES, CA 90057-1901
(213) 484-7248
(213) 484-7444
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
G15320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G153200
—
CA
Enumeration date
08/12/2010
Last updated
08/16/2010
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