Individual
TRAVIS MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 RANCHO LN STE 135, LAS VEGAS, NV 89106-3826
(702) 383-7885
Mailing address
901 RANCHO LN STE 135, LAS VEGAS, NV 89106-3826
(702) 383-7885
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M14759
ID
207P00000X
Emergency Medicine Physician
MD192204
OR
Other
Enumeration date
03/22/2016
Last updated
11/05/2019
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