Individual
DR. ROBERT GORDON TRAVNICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
15151 COMMUNITY RD, GULFPORT, MS 39503-3525
(228) 831-5151
(228) 831-5383
Mailing address
15151 COMMUNITY RD, GULFPORT, MS 39503-3525
(228) 831-5151
(228) 831-5383
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
12447
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123687
—
MS
Enumeration date
10/17/2006
Last updated
11/11/2010
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