Organization
J TRAVIS METHVIN, D.O, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES TRAVIS METHVIN D.O. (OWNER)
(636) 931-4913
Entity
Organization
Contact information
Practice address
1400 HIGHWAY 61, SUITE 240, FESTUS, MO 63028-4100
(636) 931-4913
(636) 931-4316
Mailing address
1400 HIGHWAY 61, SUITE 240, FESTUS, MO 63028-4100
(636) 931-4913
(636) 931-4316
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2001014847
MO
Other
Enumeration date
08/21/2007
Last updated
02/06/2008
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