Individual
TRAVIS BOSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
106 N 5TH ST, PAGE, NE 68766-5018
(402) 338-5901
Mailing address
109 W CLAY ST # 6876, ONEILL, NE 68763-1227
(402) 322-0347
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
24699
NE
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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