Organization
THERESA A. TRAVIS,M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA ANN TRAVIS M.D. (M.D.)
(812) 275-3328
Entity
Organization
Contact information
Practice address
2516 Q ST, SUITE B, BEDFORD, IN 47421-4928
(812) 275-3328
(812) 279-5977
Mailing address
2516 Q ST, SUITE B, BEDFORD, IN 47421-4928
(812) 275-3328
(812) 279-5977
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01036752A
IN
Other
Enumeration date
06/05/2007
Last updated
04/08/2008
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