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Individual

TRAVIS CHARLES GERACI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LP02613
RI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
288322
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
77529
AZ

Other

Enumeration date
05/31/2012
Last updated
12/31/2025
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