Individual
TRAVIS ESPOSITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(239) 462-6587
Mailing address
11948 TULIO WAY APT 2606, FORT MYERS, FL 33912-9089
(239) 462-6587
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6973
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2019
Last updated
08/28/2020
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