Individual
DR. TRAVIS M BELLVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1823 FORD ST, GOLDEN, CO 80401-2464
(303) 279-7844
Mailing address
1707 COLE BLVD, SUITE 100, GOLDEN, CO 80401-3220
(303) 716-8013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR0051554
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43035744
—
CO
Enumeration date
07/15/2009
Last updated
09/09/2016
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