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Organization

TRAVIS REBER DPM PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRAVIS K REBER DPM (OWNER)
(928) 779-5111
Entity
Organization

Contact information

Practice address
940 N SWITZER CANYON DR STE 102, FLAGSTAFF, AZ 86001-4852
(928) 779-5111
(928) 779-1374
Mailing address
940 N SWITZER CANYON DR STE 102, FLAGSTAFF, AZ 86001-4852
(928) 779-5111
(928) 779-1374

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
AZ0659
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DR3909
PALMETTO GBA - RAILROAD MEDICARE
AZ
Enumeration date
11/10/2010
Last updated
10/28/2011
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