Individual
TRAVIS BOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 KENNEDY DR APT 5, SALT LAKE CITY, UT 84108-2127
(801) 205-4106
Mailing address
3000 KENNEDY DRIVE #5, SALT LAKE CITY, UT 84108
(801) 205-4106
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7151938-1205
UT
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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