Individual
TRAVIS VAN CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2924 BROOK RD, CHILDREN'S HOSPITAL, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 228-5210
Mailing address
2924 BROOK RD, CHILDREN'S HOSPITAL CREDENTIALING DEPT, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 228-5210
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
985482
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004909976
—
VA
Enumeration date
02/05/2010
Last updated
02/05/2010
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