Individual
TRAVIS KNOX MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3215 N. NORTH HILLS BLVD., FAYETTEVILLE, AR 72703-4424
(479) 463-7102
(479) 463-7864
Mailing address
3215 N. NORTH HILLS BLVD., FAYETTEVILLE, AR 72703-4424
(479) 463-7102
(479) 463-7864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-6322
AR
208M00000X
Hospitalist Physician
Primary
E-6322
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185452001
—
AR
Enumeration date
05/28/2008
Last updated
07/21/2022
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