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Individual

TRAVIS JAMES BOUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
61332
MT
390200000X
Student in an Organized Health Care Education/Training Program
TX

Other

Enumeration date
04/17/2013
Last updated
04/05/2024
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