Individual
DR. TRAVIS ROBERT BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5979 DESERT STORM AVE., LAPOINTE HEALTH CLNIC OPTOMETRY, FT. CAMPBELL, KY 42223
(270) 412-9113
Mailing address
200 S HAMPTON PL APT 10206, CLARKSVILLE, TN 37040-6379
(480) 570-0235
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002353
AZ
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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