Individual
DR. MARK H TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4687 STONEWALL XING, SPRINGDALE, AR 72764-8579
(479) 927-1461
Mailing address
4687 STONEWALL XING, SPRINGDALE, AR 72764-8579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2492
AR
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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