Individual
TRAVIS BIRKHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2475 BROADWAY BLUFFS DR STE 301, COLUMBIA, MO 65201-8147
(573) 874-3235
Mailing address
2475 BROADWAY BLUFFS DR STE 301, COLUMBIA, MO 65201-8147
(573) 874-3235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9410106
KS
208D00000X
General Practice Physician
Primary
2022010637
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
05/13/2022
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