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Individual

TRAVIS PAUL WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5100 W TAFT RD, SUITE 2E, LIVERPOOL, NY 13088-3807
(315) 634-3399
(315) 634-3481
Mailing address
5100 W TAFT RD, SUITE 1D, LIVERPOOL, NY 13088-3807
(315) 744-1865
(315) 744-1954

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
275729
NY
2086S0102X
Surgical Critical Care Physician
275729
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03955424
NY
Enumeration date
04/03/2009
Last updated
05/13/2015
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