Individual
MELBA TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
108 ARIZONA ST, BISBEE, AZ 85603-1804
(520) 432-3309
(520) 364-4261
Mailing address
1205 F AVE, DOUGLAS, AZ 85607-1920
(520) 364-1429
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP4319
AZ
Other
Enumeration date
01/10/2012
Last updated
06/12/2013
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