Individual
DR. TRAVIS RICHARD ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10099 RIDGEGATE PKWY, SUITE 120, LONE TREE, CO 80124-5531
(720) 874-2406
Mailing address
4328 5TH AVE, SAN DIEGO, CA 92103-1417
(858) 395-2586
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
11/23/2021
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