Individual
TRAVIS MCGLOTHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723
(520) 792-1450
Mailing address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
56352
AZ
208600000X
Surgery Physician
2004-0425
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16753577
—
NM
05
—
460749
—
AZ
Enumeration date
02/06/2007
Last updated
06/01/2018
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