Individual
DR. TRAVIS LEWIS POPE GERRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 SENECA ST, MS: H8-GME, SEATTLE, WA 98101
(206) 583-6079
Mailing address
925 SENECA ST, MS: H8-GME, SEATTLE, WA 98101-2742
(206) 583-6079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60861980
WA
390200000X
Student in an Organized Health Care Education/Training Program
ML60560227
WA
Other
Enumeration date
04/22/2015
Last updated
08/07/2018
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