Individual
TRAVIS J. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2375 E PRATER WAY, SPARKS, NV 89434-9641
(775) 331-7000
Mailing address
2375 E PRATER WAY, SPARKS, NV 89434-9641
(775) 331-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17741
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2015
Last updated
12/18/2021
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