Individual
DR. TRAVIS JOHN BILANZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1303 N MAIN ST, CEDAR CITY, UT 84721-9746
(435) 868-5522
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 868-5522
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
328232-1204
UT
207V00000X
Obstetrics & Gynecology Physician
R946
AZ
Other
Enumeration date
08/16/2007
Last updated
08/04/2010
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