Individual
DYLAN TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-1000
Mailing address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(870) 351-2842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1265261572
AR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/26/2024
Last updated
10/06/2025
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