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Individual

DR. LEE RICHARD TRAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2475 BROADWAY, HELENA, MT 59601
(406) 457-4180
Mailing address
P.O. BOX 6369, HELENA, MT 59604
(406) 447-2823
(406) 447-2825

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7541
MT
208M00000X
Hospitalist Physician
7541
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99968
BCBS OF MT
MT
Enumeration date
09/26/2006
Last updated
03/30/2018
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