Individual
DR. TRAVIS JOSEPH POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
53194
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R73518
TRAINING PERMIT
AZ
Enumeration date
06/25/2012
Last updated
05/15/2026
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