Individual
TRAVIS H CALVIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 ROSS AVE, 1505 ROSS AVE, EL CENTRO, CA 92243-3730
(760) 353-1720
(760) 353-0460
Mailing address
1505 ROSS AVE, 1505 ROSS AVE, EL CENTRO, CA 92243-3730
(760) 353-1720
(760) 353-0460
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C21462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0040250
—
CA
Enumeration date
12/05/2006
Last updated
08/28/2008
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