Individual
TRAVIS JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1325 W WHITTAKER ST, SUITE 3, SALEM, IL 62881-2007
(618) 548-2400
(618) 548-2402
Mailing address
1325 W WHITTAKER ST, SUITE 3, SALEM, IL 62881-2007
(618) 548-2400
(618) 548-2402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005204
IL
Other
Enumeration date
03/28/2013
Last updated
02/23/2016
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