Individual
TRAVIS JAMES BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-2122
Mailing address
4328 W LOREN ST, SPRINGFIELD, MO 65802-5860
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2016006363
MO
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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